Individual
KATHLEEN VICK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5506 BROADWAY BLVD, GARLAND, TX 75043-3639
(972) 303-2400
(972) 303-4343
Mailing address
5506 BROADWAY BLVD, GARLAND, TX 75043-3639
(972) 303-2400
(972) 303-4343
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP138350
TX
Other
Enumeration date
09/21/2018
Last updated
12/31/2020
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