Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY SOOYOUN KIM
Active Sole ProprietorSTANLEY SOOYOUN KIM is a Driver healthcare provider located in MARICOPA, California. NPI 1578065553 is currently active in the NPPES registry. Verify at CMS.
Driver · MARICOPA, CA
Registration Details
- NPI Number
- 1578065553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2018 (8.4747687036914 yrs)
- Last Updated
- Mar 6, 2018
- License
-
D5481793 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
609 HAZELTON STMARICOPA, CA, 93252Browse CA providers · Browse ZIP 93252
- Phone
- 6614164096
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.