Individual ProviderKikam YunNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10109 Basalt Hollow Ave, Las Vegas, NV 89148-1647(702) 285-9006PECOS EnrollmentBased on the most recent information from CMS, provider Kikam Yun is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083167704Provider TypeIndividualFull NameYun, KikamCredentialNP-CGenderMaleSole ProprietorYesEnumeration Date7/29/2016Last Updated7/29/2016Contact InformationPractice LocationPractice Address10109 Basalt Hollow Ave, Las Vegas, NV 89148-1647Phone(702) 285-9006FaxUnlisted FaxMailing LocationMailing Address10109 Basalt Hollow Ave, Las Vegas, NV 89148-1647Phone(702) 285-9006FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN002289Nevada