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General NPI Number Information
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NPI Number | 1699656231
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Entity Type | Organization
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Legal Business Name | S KIM MD PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 732 S 6TH ST # 5691
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City | LAS VEGAS
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State | NV
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Zip | 89101-6948
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Country | US
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Telephone | 702-670-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 N 140TH DR
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City | GOODYEAR
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State | AZ
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Zip | 85395-5709
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Country | US
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Telephone | 925-878-9440
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SOOHYUN KIM
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Credential | MD
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Telephone | 925-878-9440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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