Individual
PHILLIP KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 BALCONES DR STE 5876, AUSTIN, TX 78731-4257
(210) 557-6813
Mailing address
5900 BALCONES DR STE 5876, AUSTIN, TX 78731-4257
(210) 331-7395
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
07/06/2023
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