MEDICARE: SOUTHERN NEVADA PAIN CENTER KIM PC

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
1	208VP0014X	Interventional Pain Medicine Physician	37818	NV

General Provider Information

NPI Number	:	1073624011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN NEVADA PAIN CENTER KIM PC

Provider Business Mailing Address
First Line	:	6950 W DESERT INN RD
Second Line	:	STE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3171
Country	:	US
Telephone Number	:	702-259-5550
Fax Number	:	702-259-5554

Provider Business Practice Location Address
First Line	:	6950 W DESERT INN RD
Second Line	:	STE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3171
Country	:	US
Telephone Number	:	702-259-5550
Fax Number	:	702-259-5554

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DANIEL K KIM
Credential	:	MD
Telephone Number	:	702-259-5550

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/16/2007

Similar Medicare Providers

1932183266 — SINGLE DAY SURGERY CENTER LLC
Practice Location Address:

6950 W DESERT INN RD , SUITE 100
LAS VEGAS, NV
89117-3171

Practice Phone: 702-368-6000
Practice Fax: 702-368-6010

1306053848 — DR. EDSON ERKULVRAWATR M.D.
Practice Location Address:

6950 W DESERT INN RD , STE 110
LAS VEGAS, NV
89117-3171

Practice Phone: 702-259-5550
Practice Fax: 702-259-5554

1477023067 — MS. SHINLY MARIE KARL PANGILINAN NP-C
Practice Location Address:

6950 W DESERT INN RD
LAS VEGAS, NV
89117-3171

Practice Phone: 702-259-5550
Practice Fax: 702-259-5554

1457996985 — CANDICE MACHELLE HITE PA-C
Practice Location Address:

6950 W DESERT INN RD STE 110
LAS VEGAS, NV
89117-3171

Practice Phone: 702-702-2595
Practice Fax:

1124268685 — KAREN ZOEANNA SILCOTT CSW INTERN
Practice Location Address:

6070 S EASTERN AVE , SUITE 200
LAS VEGAS, NV
89119-3171

Practice Phone: 702-292-3774
Practice Fax:

1851535520 — MS. AISHIA GREVENBERG LCSW
Practice Location Address:

5154 S DURANGO DR , STE 103
LAS VEGAS, NV
89113-3171

Practice Phone: 702-523-5226
Practice Fax: 702-834-4871

Directions to “SOUTHERN NEVADA PAIN CENTER KIM PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.