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Stephanie S. Kim

NPI 1225839327ActiveIndividual· General Practice· Peoria, AZ

General Practice in Peoria, Arizona, licensed in AZ, with an NPI issued in March 2025.

Overview

NPI1225839327
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 24, 2025
Last updated in NPPESOct 15, 2026
Certified by providerOct 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000XD012952AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other General Practice providers in Peoria

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