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NPI Code Detail

MEDICARE: SUE HYUN KIM OTR/L

MEDICARE: SUE HYUN KIM OTR/L
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
1225X00000XOccupational TherapistOT-3794NV

General Provider Information

NPI Number : 1245197839
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE HYUN KIM OTR/L
Provider Business Mailing Address
First Line : 5110 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5110 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3406
Country : US
Telephone Number : 702-871-1418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ SUE HYUN KIM OTR/L” Practice Location

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