MEDICARE: SARAH NAYOUNG KIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	S3216	TX

General Provider Information

NPI Number	:	1144630609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NAYOUNG KIM M.D.

Provider Business Mailing Address
First Line	:	7668 ELDORADO PKWY STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5753
Country	:	US
Telephone Number	:	972-439-3753
Fax Number	:	972-439-3754

Provider Business Practice Location Address
First Line	:	7668 ELDORADO PKWY STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5753
Country	:	US
Telephone Number	:	972-439-3753
Fax Number	:	972-439-3754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	10/04/2019

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