Most Relevant Information
Provider Data
  | NPI Number: | 1003309741 | 
| Provider Name: | YONG KIM BEVIL | 
| Entity Type: | Individual | 
| Taxonomy Code: | 3747P1801X | 
| Specialty: | Technician | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/07/2018 | 
| Last Updated: | 06/07/2018 | 
Provider Practice Location
  1701 N GREEN VALLEY PKWY STE 9A
      
      HENDERSON
      NV
      890745991
  Practice Location Phone/Fax
      | Phone: | 7024071100 | 
| Fax: | 
Provider Mailing Location
  1701 N GREEN VALLEY PKWY STE 9A
      
      HENDERSON
      NV
      890745991
  Provider Mailing Phone/Fax
      | Phone: | 7024071100 | 
| Fax: |