Individual
MRS. LYDIA YU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LAT, ATC
Contact information
Practice address
1904 SOUTHERN OAKS, CARROLLTON, TX 75007-5306
(580) 695-8794
Mailing address
411 N WASHINGTON AVE STE 5000, DALLAS, TX 75246-1792
(580) 695-8794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6715
TX
Other
Enumeration date
01/27/2016
Last updated
11/22/2022
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