Kim, Stacy June

Kim, Stacy June is an sole proprietor health care provider with primary practice located at 4230 Burnham Ave Associated Pathologists, Chartered, Las Vegas NV 89119-5408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Kim, Stacy June can be contacted via phone (702) 733-7866.

Contact Information

Primary practice address
4230 Burnham Ave Associated Pathologists, Chartered Las Vegas NV 89119-5408
Fax: (702) 792-1319
Website:

Profile Details

NPI number 1265633077
LBN Legal business name Kim, Stacy June
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Oct 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265633077 NPPES
Nevada Other 12851 MEDICAL LICENSE
Nevada MEDICAID 1265633077 MEDICAL LICENSE
Nevada Other A108582 MEDICAL LICENSE

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