Provider Demographics
NPI:1396955076
Name:KIM, NANCY HAGEUNG (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:HAGEUNG
Last Name:KIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9500 E IRONWOOD SQUARE DR
Mailing Address - Street 2:STE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4582
Mailing Address - Country:US
Mailing Address - Phone:480-948-8400
Mailing Address - Fax:480-948-8401
Practice Address - Street 1:9500 E IRONWOOD SQUARE DR
Practice Address - Street 2:STE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4582
Practice Address - Country:US
Practice Address - Phone:480-948-8400
Practice Address - Fax:480-948-8401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2017-08-16
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Provider Licenses
StateLicense IDTaxonomies
AZ41487207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery