Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNA KYUNGMI KIM, DDS
Active Sole ProprietorDR. SHANNA KYUNGMI KIM, DDS is a 1223X2210X healthcare provider located in SPARKS, Nevada. NPI 1710282272 is currently active in the NPPES registry. Verify at CMS.
1223X2210X · SPARKS, NV
Registration Details
- NPI Number
- 1710282272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2011 (15.557290275842 yrs)
- Last Updated
- Nov 28, 2024
- License
-
7344 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4840 VISTA BLVD STE 108SPARKS, NV, 894362850Browse NV providers · Browse ZIP 89436
- Phone
- 7753629374
- Primary Specialty
-
1223X2210X
1223X2210X
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.