Kim, Andrew

Kim, Andrew is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Ste 100 , Las Vegas NV 89121-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Kim, Andrew can be contacted via phone (702) 731-1616.

Contact Information

Primary practice address
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 11170 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 20A11170 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X M9411 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X DO1610 Nevada

Profile Details

NPI number 1417100918
LBN Legal business name Kim, Andrew
Credentials D.O., PLLC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jun 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417100918 NPPES
Nevada MEDICAID 1417100918

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