| Devin Paul Kim, MD | |
|
13395 N Marana Main St Bldg B, Marana, AZ 85653-7008 | |
| (520) 682-1091 | |
| (520) 682-4132 |
| Full Name | Devin Paul Kim |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 13395 N Marana Main St Bldg B, Marana, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629207725 | NPI | - | NPPES |
| 914619 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 47721 (Arizona) | Primary |
| Entity Name | Marana Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447263405 PECOS PAC ID: 2365348091 Enrollment ID: O20031211000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Paul Kim, MD Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Devin Paul Kim, MD 13395 N Marana Main St Bldg B, Marana, AZ 85653-7008 Ph: (520) 682-1091 |
Joseph Severo Simon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5224 W Dove Centre Rd, Marana, AZ 85658 Phone: 520-616-1445 Fax: 520-616-1446 | |
Joshua Simon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13395 N Marana Main St Bldg B, Marana, AZ 85653 Phone: 520-682-1091 Fax: 520-682-4132 |