Shields, Mi-Kyong Kim
Shields, Mi-Kyong Kim is an sole proprietor health care provider with primary practice located at 13634 N 93Rd Ave Ste 100 , Peoria AZ 85381-4915. She recently has 6 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shields, Mi-Kyong Kim can be contacted via phone (623) 777-0081.Contact Information
Primary practice address
13634 N 93Rd Ave Ste 100
Peoria AZ 85381-4915
Phone: (623) 777-0081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP11206 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP11206 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | AP11206 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP11206 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP11206 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP11206 | Arizona |
Profile Details
| NPI number | 1922571710 |
|---|---|
| LBN Legal business name | Shields, Mi-Kyong Kim |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2019 |
| Last updated | Jan 4th, 2019 - about 6 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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