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Contact Information

KIRK SHIM, APRN
167 NORTH MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIRK SHIM · (Male)

NPI # 1033491006
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 09/15/2011
Last updated 10/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP10587
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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