Kim, Stacy June
Kim, Stacy June is an sole proprietor health care provider with primary practice located at 4230 Burnham Ave Associated Pathologists, Chartered, Las Vegas NV 89119-5408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Kim, Stacy June can be contacted via phone (702) 733-7866.Contact Information
Primary practice address
4230 Burnham Ave Associated Pathologists, Chartered
Las Vegas NV 89119-5408
Phone: (702) 733-7866
Fax: (702) 792-1319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | A108582 | California |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 12851 | Nevada |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD430805 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A108582 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 12851 | Nevada |
Profile Details
| NPI number | 1265633077 |
|---|---|
| LBN Legal business name | Kim, Stacy June |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Oct 12th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265633077 | NPPES |
| Nevada | Other | 12851 | MEDICAL LICENSE |
| Nevada | MEDICAID | 1265633077 | MEDICAL LICENSE |
| Nevada | Other | A108582 | MEDICAL LICENSE |
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