Kim, Carl In

Kim, Carl In is an individual health care provider with primary practice located at 300 University Blvd Bldg A , Round Rock TX 78665-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kim, Carl In can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
300 University Blvd Bldg A Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99670 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R6030 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X R6030 Texas

Profile Details

NPI number 1578767182
LBN Legal business name Kim, Carl In
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jan 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578767182 NPPES
California MEDICAID 00A996700
California Other P00480248

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