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NPI Code Detail

MEDICARE: REBECCA KIM PA

MEDICARE: REBECCA KIM PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1285369199
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KIM PA
Provider Business Mailing Address
First Line : 6827 W TROPICANA AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4920
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6827 W TROPICANA AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4920
Country : US
Telephone Number : 702-508-9128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2022
Last Update Date : 06/02/2026

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Directions to “ REBECCA KIM PA” Practice Location

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