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EUN JUNG KIM
NPI 1255968004
Nurse Practitioner - Family in Carrollton, TX

Active since March 23, 2020
4444 SAUKENUK LN, CARROLLTON, TX 75010(469) 774-7197 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Eun Jung Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUN JUNG KIM (NPI 1255968004) is an individual family provider in Carrollton, Texas, licensed in Texas (AP144588) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1255968004
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEUN JUNG KIM
Location Address4444 SAUKENUK LNCarrollton, TX 75010-1203
Mailing Address4444 Saukenuk LnCarrollton, TX 75010-1203
Phone(469) 774-7197
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1255968004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP144588
4444 SAUKENUK LN, Carrollton, TX 75010
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eun Kim's NPI number?

The NPI number for Eun Kim is 1255968004. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Eun Kim located?

Eun Kim practices at 4444 Saukenuk Ln, Carrollton, TX 75010. The listed phone number is (469) 774-7197.

What is Eun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Eun Kim was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.