Individual
MIJUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118-1859
(702) 853-3000
Mailing address
10317 HORSEBACK RIDGE AVE, LAS VEGAS, NV 89144-6867
(702) 406-1312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002293
NV
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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