Individual
MRS. MYONG WOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 ARVILLE ST, LAS VEGAS, NV 89102-0054
(702) 738-0514
Mailing address
1130 SHARON RD, LAS VEGAS, NV 89106-2036
(702) 738-0514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8408-ADC-0
NV
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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