Most Relevant Information
Provider Data
| NPI Number: | 1003496050 |
| Provider Name: | INA KIM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2021 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
6655 S CIMARRON RD
LAS VEGAS
NV
891132180
Practice Location Phone/Fax
| Phone: | 7028533561 |
| Fax: |
Provider Mailing Location
6655 S CIMARRON RD
LAS VEGAS
NV
891132180
Provider Mailing Phone/Fax
| Phone: | 8583812438 |
| Fax: |