Mr Kwang Kim, RD | |
Kayenta Phs Health Clinic, Hwy 160 And 163, Kayenta, AZ 86033 | |
(928) 697-4000 | |
(928) 697-4145 |
Full Name | Mr Kwang Kim |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | Kayenta Phs Health Clinic, Kayenta, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235109505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kwang Kim, RD P.o. Box 3905, Kayenta, AZ 86033-3905 Ph: (928) 697-4281 | Mr Kwang Kim, RD Kayenta Phs Health Clinic, Hwy 160 And 163, Kayenta, AZ 86033 Ph: (928) 697-4000 |
Natasha Dawn Bordeaux, Dietitian Medicare: Medicare Enrolled Practice Location: Hwy 160 Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Ms. Samantha Jean Smith, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Po Box 368, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 |