NPI
Advanced Minimally Invasive Surgical
NPI 1558119602
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-05-13
- Last updated
- 2024-05-13
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 412 Whipple St
- City
- Prescott AZ
- Postal code
- 86301-1712
- Phone
- (480) 788-5621
Organization contact
- Name
- Kiup Kim
- Title
- Owner
- Phone
- (480) 323-6072
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Prescott, AZ. 2,568 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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