Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy June Kim, MD

Individual provider Cytopathology Physician · NPI 1265633077

Stacy June Kim, MD is a Pathology in Las Vegas, Nevada. Graduated from Northeastern Ohio University College of Medicine in 2003, 23 years ago. Practices with Hoffman, MD, Associated Pathologists Chartered, a 14-clinician group and accepts Medicare assignment. Licensed in California, Nevada and Pennsylvania.

Years since qualifying
23
Trained at
Northeastern Ohio University College of Medicine
Licensed in
CA, NV, PA
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4230 Burnham Ave Associated Pathologists Chartered
Las Vegas, NV 89119-5408
Phone: (702) 733-7866
Fax: (702) 792-1319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 12851 (NV)
Cytopathology Physician Taxonomy 207ZC0500X · Licence A108582 (CA)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 12851 (NV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD430805 (PA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence A108582 (CA)

Record details

NPI number1265633077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESOctober 12, 2018
Mailing address4230 Burnham Ave, Associated Pathologists, Chartered, Las Vegas, NV 89119-5408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Hoffman, Md, Associated Pathologists Chartered — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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