Provider Type Icon

STACY JUNE KIM M.D. NPI 1265633077


NPI Information

NPI: 1265633077
Provider Name: STACY JUNE KIM, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Organization: HOFFMAN, MD, ASSOCIATED PATHOLOGISTS CHARTERED

PECOS Registration: Yes

Address:
4230 BURNHAM AVE
ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV
ZIP 89119
Phone: (702) 733-7866
Get Directions

Stacy June Kim, M.D. is an anatomic pathology and clinical pathology pathology in Las Vegas, NV with 21 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Stacy June Kim, M.D. NPI is 1265633077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

4230 BURNHAM AVE
ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV
ZIP 89119-408
Phone: (702) 733-7866
Fax: (702) 792-1319

The NPI 1265633077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 10/12/2018.


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
1207ZC0500XPathologyCytopathology12851NEVADANo
2207ZC0500XPathologyCytopathologyA108582CALIFORNIANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology12851NEVADAYes
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyA108582CALIFORNIANo
5207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD430805PENNSYLVANIANo

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
112851OTHERNEVADAMEDICAL LICENSE
2A108582OTHERCALIFORNIAMEDICAL LICENSE
31265633077MEDICAIDNEVADA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.