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Contact Information

KITAE KIM MD LTD
3061 S MARYLAND PKWY STE 104
LAS VEGAS, NV89109-6226
 Phone: 702-629-3771
 Fax: 702-438-6666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KITAE KIM MD LTD

NPI Number 1346976750
LBN Legal business name KITAE KIM MD LTD
Authorized official KITAE KIM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2022
Last updated 07/27/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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