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NPI 1508430661 · Integrative Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1508430661
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kiup Kim, Founder / Ceo(480) 788-5621
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
14804 N Cave Creek Rd Ste 200
Phoenix, AZ 85032-4945
Phone: (480) 240-5613
Fax: (480) 205-1063
Approximate (ZIP-level) locationGet directions
Mailing address
202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Additional practice locations (2)
- 202 E Earll Dr Ste 360Phoenix, AZ 85012-2677Phone: (480) 788-5621Fax: (480) 779-1277
- 13640 N 99th Ave Ste 200Sun City, AZ 85351-0001Phone: (480) 788-5621Fax: (480) 779-1277
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.