Kim, Rebecca Nonesupplied
Kim, Rebecca Nonesupplied is an individual health care provider with primary practice located at 4100 Everett Dr Ste 400 , Kyle TX 78640-6147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Rebecca Nonesupplied can be contacted via phone (512) 295-1333.Contact Information
Primary practice address
4100 Everett Dr Ste 400
Kyle TX 78640-6147
Phone: (512) 295-1333
Fax: (512) 406-7327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N2600 | Texas |
Profile Details
| NPI number | 1467656033 |
|---|---|
| LBN Legal business name | Kim, Rebecca Nonesupplied |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | May 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467656033 | NPPES |
| Texas | MEDICAID | 350763403 | |
| Texas | Other | 3805159053 | |
| Texas | MEDICAID | 350763402 |
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