Kitae Kim MD LTD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

KITAE KIM MD LTD

Practice address

3061 S Maryland Pkwy Ste 104
Las Vegas, NV 89109-6226

Phone

(702) 629-3771

Fax

(702) 438-6666

NPI assigned

Jul 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kitae Kim, MD

Title

President

Phone

(702) 629-3771

Specialties & licenses 2

Addresses

Other names 1

• SPECIAL ASSOCIATES IN SURGERY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1346976750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY # 685",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-629-3771",
            "fax_number": "702-438-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S MARYLAND PKWY STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096226",
            "telephone_number": "702-629-3771",
            "fax_number": "702-438-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITAE KIM MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KITAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-629-3771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIAL ASSOCIATES IN SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven John Kiss, PA-C
• Tana Kissinger
• Ryan N Kissling, DC
• Jacob Paul Kissman, PT, DPT, CSCS
• Bradley Kiszer
• Leah Kitainik, OTR/L
• Lora Kitch
• Nicky Darrell Kitch
• Brock Todd Kitchen, D.O.
• Lena Marie Kitchen

• Surgical Critical Care Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgical Critical Care Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.