IndividualActive
Anne Kim, PA-C
NPI 1487054110 · Medical Physician Assistant · Glendale, AZ
Provider details
- NPI number
- 1487054110
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Practice location
15236 N 59th Ave
Glendale, AZ 85306-3206
Phone: (602) 337-8356
Fax: (602) 337-8364
Mailing address
15236 N 59th Ave
Glendale, AZ 85306-3206
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2017-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.