Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128
(702) 962-9540
Mailing address
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3758
NV
208D00000X
General Practice Physician
DO3758
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433965300
—
NV
Enumeration date
03/28/2021
Last updated
03/20/2025
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