Most Relevant Information
Provider Data
| NPI Number: | 1003491929 |
| Provider Name: | MARTHA KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 838966 |
Most Important Dates
| Enumeration Date: | 03/11/2021 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
9065 S PECOS RD STE 190
HENDERSON
NV
890746605
Practice Location Phone/Fax
| Phone: | 7028883148 |
| Fax: |
Provider Mailing Location
2370 CORPORATE CIR STE 300
HENDERSON
NV
890747760
Provider Mailing Phone/Fax
| Phone: | 7029103950 |
| Fax: |