Individual
JUSTIN M KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
130 NORRIS LN, BOERNE, TX 78006-2893
(830) 249-3898
(830) 249-9228
Mailing address
130 NORRIS LN, BOERNE, TX 78006-2893
(830) 249-3898
(830) 249-9228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6310T
TX
Other
Enumeration date
08/24/2005
Last updated
04/29/2020
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