MEDICARE: DR. SHIN Y KIM MD

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	2085R0202X	Diagnostic Radiology Physician	9770	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821199068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIN Y KIM MD

Provider Business Mailing Address
First Line	:	PO BOX 21568
Second Line	:	DEPT 284
City	:	TULSA
State	:	OK
Zip	:	74121
Country	:	US
Telephone Number	:	800-915-3089
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 N ARLINGTON AVE
Second Line	:	SUITE 250A
City	:	RENO
State	:	NV
Zip	:	89503-4460
Country	:	US
Telephone Number	:	775-329-7707
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/02/2014

Similar Medicare Providers

1992777478 — SHAHEEN S ALI M.D.
Practice Location Address:

645 N ARLINGTON AVE , SUITE 600
RENO, NV
89503-4460

Practice Phone: 775-322-3393
Practice Fax: 775-322-3385

1699727198 — TOBEY D MORRIS ARNP
Practice Location Address:

645 N ARLINGTON AVE , SUITE 660
RENO, NV
89503-4460

Practice Phone: 775-770-7348
Practice Fax:

1083766190 — DONALD CASSIDY MD
Practice Location Address:

645 N ARLINGTON AVE , SUITE 555
RENO, NV
89503-4460

Practice Phone: 775-770-3304
Practice Fax:

1295952562 — JOSHUA KREISS M.D.
Practice Location Address:

645 N ARLINGTON AVE , STE 655
RENO, NV
89503-4460

Practice Phone: 775-770-6456
Practice Fax: 775-770-6455

1326340704 — MARLENE SWANBECK APN
Practice Location Address:

645 N ARLINGTON AVE , SUITE 555
RENO, NV
89503-4460

Practice Phone: 775-770-3304
Practice Fax: 775-770-3880

1528358140 — JENNIFER A CROSS MA, OTR/L
Practice Location Address:

645 N ARLINGTON AVE , SUITE 350
RENO, NV
89503-4460

Practice Phone: 775-770-3104
Practice Fax: 775-770-3692

Directions to “ DR. SHIN Y KIM MD” 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.