| NPI | 1255474359 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-02-15 |
| Last Updated | 2026-05-26 |
| Mailing Address | Po Box 27128 Salt Lake City, UT 84127-0128 United States 📍 View Map |
| Primary Practice Address | 2880 N Tenaya Way Fl 3 Las Vegas, NV 89128-0618 United States Phone: (702) 255-3547 | Fax: (702) 307-2204 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NV | 24782 | State license |
| MEDICAID | FL | 261872900 | - |
| Other (non-Medicare) | - | 592292041 | Tax ID |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207V00000X – Obstetrics & Gynecology | FL | me77123 |
| No | 207V00000X – Obstetrics & Gynecology | NV | 24782 |
| Yes | 207V00000X – Obstetrics & Gynecology | UT | 14269662-1235 |
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About NPI 1255474359
Sunwook Kim MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255474359. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Las Vegas, NV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255474359?
NPI 1255474359 belongs to Sunwook Kim MD, a Obstetrics & Gynecology in Las Vegas, NV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255474359 active?
The current status of NPI 1255474359 in the NPPES registry is Active. The record was last updated on 2026-05-26.
What specialty is NPI 1255474359?
NPI 1255474359 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255474359?
You can verify NPI 1255474359 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255474359?
The primary practice address on file for NPI 1255474359 is 2880 N Tenaya Way Fl 3, Las Vegas, NV 89128-0618. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255474359 issued?
NPI 1255474359 was first issued (enumerated) on 2007-02-15. The NPPES record was last updated on 2026-05-26.
Practice Location Map
Sunwook Kim is located at 2880 N Tenaya Way Fl 3, Las Vegas, NV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sunwook Kim. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255474359. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | me77123 | FL |
| Obstetrics & Gynecology | 24782 | NV |
| Obstetrics & Gynecology | 14269662-1235 | UT |