Individual
DR. ANTHONY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4701 BOAT CLUB RD., SUITE 200, FORT WORTH, TX 76135-5285
(817) 237-0515
Mailing address
4701 BOAT CLUB RD., SUITE 200, FORT WORTH, TX 76135-5285
(817) 237-0515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149986502
—
TX
Enumeration date
01/25/2006
Last updated
02/23/2022
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