Individual
DUANE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8605
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
BP10083655
TX
208000000X
Pediatrics Physician
Primary
0101284623
VA
208D00000X
General Practice Physician
Primary
0101284623
VA
Other
Enumeration date
06/05/2023
Last updated
08/13/2026
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