KATHLEEN VICK KIM NP
NPI 1346724655
Nurse Practitioner - Pediatrics in Garland, TX
Active since September 21, 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
Phone(972) 303-2400
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.
Psychiatry & Neurology (Psychiatry)
5506 BROADWAY BLVD
GARLAND, TX 75043
GARLAND, TX 75043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346724655, enumerated as an "individual" on September 21, 2018.
The provider is located at 5506 BROADWAY BLVD GARLAND, TX 75043 and the phone number is (972) 303-2400.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
