Individual
KWANG CHUL SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-8600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5895
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871547968
—
NV
Enumeration date
05/21/2006
Last updated
06/18/2024
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