Elliott, Kim
Elliott, Kim is an individual health care provider with primary practice located at 2300 Green Oak Dr Ste 300 , Kingwood TX 77339-2051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Elliott, Kim can be contacted via phone (281) 359-4111.Contact Information
Primary practice address
2300 Green Oak Dr Ste 300
Kingwood TX 77339-2051
Phone: (281) 359-4111
Fax: (281) 359-4447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G7059 | Texas |
Profile Details
| NPI number | 1407954738 |
|---|---|
| LBN Legal business name | Elliott, Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 15th, 2019 - 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 | 1407954738 | NPPES |
| Texas | MEDICAID | 097846201 |
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