Individual
DALWINN DALE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
5424 W US HIGHWAY 290 SERVICE ROAD, SUITE 108, AUSTIN, TX 78735
(512) 430-1130
Mailing address
2210 LYNNBROOK DR UNIT 1402, AUSTIN, TX 78748-2537
(210) 660-0255
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
960899
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1196224
TX
Other
Enumeration date
02/05/2021
Last updated
05/28/2025
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