MD, RPVI Kiup Alexander Kim, NPI 1225242985
Vascular Surgery Physician in Phoenix, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225242985
NPI Entity Type Individual
Provider Name MD, RPVI Kiup Alexander Kim
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 202 E Earll Dr Ste 360, Phoenix, AZ, US
Provider Mailing Address 202 E Earll Dr Ste 360, Phoenix, AZ, US, 850122677
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2086S0129X

Taxonomy Name Vascular Surgery Physician
Classification

Surgery

Group

Allopathic & Osteopathic Physicians

License No. 42708
License State AZ
Description A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Business Address

MD, RPVI Kiup Alexander Kim
202 E Earll Dr Ste 360

Phoenix, AZ, US

Phone: 480-788-5621
Fax: 480-779-1277

Mailing Address

MD, RPVI Kiup Alexander Kim
202 E Earll Dr Ste 360
Phoenix, AZ, US
ZIP 850122677
Phone: 480-788-5621
Fax: 480-779-1277

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208600000X

Allopathic & Osteopathic Physicians

Surgery

42708 AZ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1225242985 AZ NPI 01
Z139140 AZ PTAN 01
501341 AZ MEDICAID 05

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NPI Name Taxonomy Address

1659836476

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Organization

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Suite 200

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PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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