Kim, Leroy Kyoungman

Kim, Leroy Kyoungman is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Leroy Kyoungman can be contacted via phone (972) 249-0200.

Contact Information

Primary practice address
14131 Midway Rd Suite 620 Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J9134 Texas

Profile Details

NPI number 1639131519
LBN Legal business name Kim, Leroy Kyoungman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 9th, 2008 - about 16 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 1639131519 NPPES
Texas MEDICAID 118829405
Texas MEDICAID 118829407

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