Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8687 N CENTRAL EXPY STE 2200, DALLAS, TX 75225-4570
(214) 368-0059
Mailing address
8687 N CENTRAL EXPY STE 2200, DALLAS, TX 75225-4570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9460
TX
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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