Kylie Rae Haru Kim (NPI# 1366925042, PAC ID# 5092058487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366925042 |
| PAC ID by PECOS | 5092058487 |
| Professional Enrollment ID | I20190529001294 |
| Full Name | Kylie Rae Haru Kim |
| Organization Legal Name | EMMA C VICUNA OD LLC |
| Address |
7782 W Sahara Ave Las Vegas NV 89117-2700 |
| Phone Number | 7022547600 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749523132 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7782 W Sahara Ave, Las Vegas, NV 89117-2700 | 7022547600 | EMMA C VICUNA OD LLC |
| Organization Legal Name | EMMA C VICUNA OD LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Victor Lupei | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Emma Concepcion Vicuna | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Victoria Lupei | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Street Address |
7782 W SAHARA AVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Victor Lupei | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Emma Concepcion Vicuna | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Victoria Lupei | Optometry | Emma C Vicuna Od LLC | 7782 W Sahara Ave, Las Vegas, NV 89117-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Baumgartl | Anesthesiology | 1541 Windhaven Cir, Las Vegas, NV 89117-1532 | |
| Saritha L Farris | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Aaron E Bomer | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Joseph E Dipalma | Internal Medicine | 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573 | |
| Kathleen L Risdon | Clinical Social Worker | 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575 | |
| Maria A Giacalone | Chiropractic | 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578 | |
| Michelle A Gravley | Clinical Psychologist | Michelle Gravley, P.C. | 7221 W Charleston Blvd, Las Vegas, NV 89117-1619 |
| Russell P Jayne | Ophthalmology | 6839 W Charleston Blvd, Las Vegas, NV 89117-1635 | |
| Juliet Ruiz | Clinical Social Worker | 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669 | |
| Charles G Mahakian | Psychiatry | 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673 | |
| Find all physicians in zip 89117 | |||
| City | LAS VEGAS |
| Zip Code | 89117 |
| Specialty | OPTOMETRY |
| City + Specialty | LAS VEGAS + OPTOMETRY |
Please comment or provide details below to improve the information on Kylie Rae Haru Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.