Carroll, Kim

Carroll, Kim is an individual health care provider with primary practice located at 205 S Enterprize Pkwy , Corpus Christi TX 78405-4118. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Carroll, Kim can be contacted via phone (361) 939-6510.

Contact Information

Primary practice address
205 S Enterprize Pkwy Corpus Christi TX 78405-4118
Phone: (361) 939-6510
Fax: (361) 939-6511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 498 North Carolina

Profile Details

NPI number 1902893720
LBN Legal business name Carroll, Kim
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 10th, 2015 - about 10 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 1902893720 NPPES
North Carolina Other 081A1 BCBS OF NC
North Carolina MEDICAID 5902315 BCBS OF NC
North Carolina Other P00634269 BCBS OF NC

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