Individual
KIM O LEARNED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7361
TX
2085R0202X
Diagnostic Radiology Physician
MD434150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102144325-0001
—
PA
05
—
391840101
—
TX
01
—
391840102
CSHCN
TX
01
—
8KA048
BCBS
TX
Enumeration date
07/11/2007
Last updated
02/07/2019
Update your record
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