MEDICARE: KIM CHEN PLLC

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	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1881078418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIM CHEN PLLC

Provider Business Mailing Address
First Line	:	8530 W. SUNSET ROAD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-483-4483
Fax Number	:	702-410-6670

Provider Business Practice Location Address
First Line	:	8530 W. SUNSET RD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-483-4483
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. GARY CHEN
Credential	:	M.D.
Telephone Number	:	702-483-4483

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	02/11/2026

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