CHARLES KIM

LUBBOCK, TX
NPI1003077769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: ND  12344)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10032227)
Enumeration Date2008-06-24
Last Update Date2022-01-20
Business Address
CHARLES KIM D.O.
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-3004
Mailing Address
CHARLES KIM D.O.
906 MILWAUKEE AVE APT 609
LUBBOCK, TX 79416-5965
Phone number: 305-984-4186