MEDICARE: DR. WILLIAM KIM M.D.

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	207P00000X	Emergency Medicine Physician	NV6486	NV
2	207R00000X	Internal Medicine Physician	NV6486	NV
3	208VP0000X	Pain Medicine Physician	NV6486	NV
4	207RR0500X	Rheumatology Physician	NV6486	NV

General Provider Information

NPI Number	:	1407829385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KIM M.D.

Provider Business Mailing Address
First Line	:	5980 S RAINBOW BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4202
Country	:	US
Telephone Number	:	702-765-7246
Fax Number	:	702-765-7227

Provider Business Practice Location Address
First Line	:	7455 W WASHINGTON AVE STE 480
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4338
Country	:	US
Telephone Number	:	702-320-8111
Fax Number	:	702-320-8112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	03/09/2026

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