| 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: Accepting Medicare Assignments Practice Location: Hwy 160 Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Ms. Samantha Jean Smith, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: Po Box 368, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 |