Andrew Kim, DO PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

DO1610 Issued in NV

Legal business name

ANDREW KIM, DO PLLC

Practice address

2875 Saint Rose Pkwy
Suite#120
Henderson, NV 89052-4838

Phone

(702) 243-5550

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Andrew Kim

Title

President

Phone

(702) 756-7230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1679980692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W SAHARA AVE",
            "address_2": "SUITE 261",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY",
            "address_2": "SUITE#120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524838",
            "telephone_number": "702-243-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW KIM, DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-756-7230"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NV",
            "license": "DO1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Andrew, PT, DPT
• Kaitlin Andrewjeski
• Donna Andrews
• Rachel Marie Andrus
• Rae-Anne Anes-Pavao

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.