Individual provider · Type 1 NPI

Grace Sun Kim, PA

Medical Physician Assistant · Nellis Afb, NV

NPI number 1275249740 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1275249740

Grace Sun Kim, PA's National Provider Identifier is 1275249740, issued on Jan 27, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nellis Afb, NV. The record was last updated on Jun 8, 2026.