Individual
JEFF KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 CUSTER RD STE 400, PLANO, TX 75075-7400
(469) 261-1774
Mailing address
1301 CUSTER RD STE 400, PLANO, TX 75075-7400
(469) 261-1774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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