Individual
DANIEL W KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5425 W SPRING CREEK PKWY, SUITE 100, PLANO, TX 75024-4236
(972) 423-5679
(972) 612-5410
Mailing address
5425 W SPRING CREEK PKWY, SUITE 100, PLANO, TX 75024-4236
(972) 423-5679
(972) 612-5410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M4243
TX
208VP0000X
Pain Medicine Physician
M4243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00666115
RAILROAD MEDICARE
TX
Enumeration date
01/10/2007
Last updated
10/10/2014
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