Individual
DR. PAUL JEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1801 INWOOD ROAD, DALLAS, TX 75390-2113
(214) 645-3101
(214) 645-3105
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0636
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952699
—
AZ
Enumeration date
04/14/2006
Last updated
04/08/2019
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