IndividualActive
Grace Kim, D.O.
NPI 1972750370 · MOHS-Micrographic Surgery Physician · Las Vegas, NV
Provider details
- NPI number
- 1972750370
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- DO1788 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2615 Box Canyon Dr
Las Vegas, NV 89128-0450
Phone: (702) 998-9001
Fax: (702) 998-4999
Approximate (ZIP-level) locationGet directions
Mailing address
2615 Box Canyon Dr
Las Vegas, NV 89128-0450
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.