KATHLEEN VICK KIM NP
NPI 1346724655
Nurse Practitioner - Pediatrics in Garland, TX

Active since September 21, 2018
5506 BROADWAY BLVD, GARLAND, TX 75043(972) 303-2400(972) 303-4343 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2020, Sep 21, 2018 (2 updates tracked since 2018).

About Kathleen Vick Kim Np NPPES

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

KATHLEEN VICK KIM NP (NPI 1346724655) is an individual pediatrics provider in Garland, Texas, licensed in Texas (AP138350) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1346724655
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN VICK KIMCredential: NP
Location Address5506 BROADWAY BLVDGarland, TX 75043-3639
Mailing Address5506 Broadway BlvdGarland, TX 75043-3639 · (972) 303-2400 · Fax (972) 303-4343
Fax(972) 303-4343
Sole ProprietorNo
Enumeration DateSeptember 21, 2018
Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
NPI 1346724655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · AP138350
5506 BROADWAY BLVD, Garland, TX 75043

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
5506 BROADWAY BLVD
GARLAND, TX 75043
Pediatrics
5506 BROADWAY BLVD
GARLAND, TX 75043
Pediatrics
5506 BROADWAY BLVD
GARLAND, TX 75043
Nurse Practitioner (Pediatrics)
5506 BROADWAY BLVD
GARLAND, TX 75043
Nurse Practitioner (Family)
5506 BROADWAY BLVD
GARLAND, TX 75043
Psychiatry & Neurology (Psychiatry)
5506 BROADWAY BLVD
GARLAND, TX 75043

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 Kathleen Kim's NPI number?

The NPI number for Kathleen Kim is 1346724655. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Kathleen Kim located?

Kathleen Kim practices at 5506 Broadway Blvd, Garland, TX 75043. The listed phone number is (972) 303-2400.

What is Kathleen Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Kim was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.