Individual
ALISA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 N INTERSTATE 35, DENTON, TX 76201-5119
(817) 820-4906
Mailing address
967 W POWERS AVE, LITTLETON, CO 80120-1451
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
U5144
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
08/18/2023
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