Kim, Grace

Kim, Grace is an individual health care provider with primary practice located at 925 E Southlake Blvd Suite 100, Southlake TX 76092. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kim, Grace can be contacted via phone (817) 912-8800.

Contact Information

Primary practice address
925 E Southlake Blvd Suite 100 Southlake TX 76092
Phone: (817) 912-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q9401 Texas

Profile Details

NPI number 1679991897
LBN Legal business name Kim, Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2014
Last updated Mar 25th, 2022 - about 4 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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