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Individual

DR. SHIN Y KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
645 N ARLINGTON AVE, SUITE 250A, RENO, NV 89503-4460
(775) 329-7707
Mailing address
PO BOX 21568, DEPT 284, TULSA, OK 74121
(800) 915-3089

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9770
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2016821
NV
Enumeration date
09/26/2006
Last updated
02/02/2014
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