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SOUTHERN NEVADA PAIN CENTER KIM PC NPI 1073624011


NPI Information

NPI: 1073624011
Provider Name: SOUTHERN NEVADA PAIN CENTER KIM PC

Doing Business As: SOUTHERN NEVADA PAIN CENTER

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
6950 W DESERT INN RD
STE 110
LAS VEGAS, NV
ZIP 89117
Phone: (702) 259-5550
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SOUTHERN NEVADA PAIN CENTER KIM PC is an interventional pain medicine pain medicine in Las Vegas, NV. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SOUTHERN NEVADA PAIN CENTER KIM PC NPI is 1073624011. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Nevada Pain Center.

The provider's business location address is:

6950 W DESERT INN RD
STE 110
LAS VEGAS, NV
ZIP 89117-171
Phone: (702) 259-5550
Fax: (702) 259-5554

The provider's authorized official is Daniel K Kim .
The authorized official title is Medical Director and has the following contact phone number (702) 259-5550.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine37818NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137818MEDICARE PIN
237818MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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