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General NPI Number Information
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NPI Number | 1841324563
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Entity Type | Organization
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Legal Business Name | KHD HEALTHCARE CLINIC P.A.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1740 W 27TH ST 209
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City | HOUSTON
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State | TX
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Zip | 77008-1440
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Country | US
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Telephone | 713-863-7063
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Fax | 713-863-1725
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Provider Business Mailing Address
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Address Line | 1740 W 27TH ST 209
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City | HOUSTON
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State | TX
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Zip | 77008-1440
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Country | US
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Telephone | 713-863-7063
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Fax | 713-863-1725
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KIM JEANNINE HORN
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Credential | M.D.
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Telephone | 713-863-7063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | H5712
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | H5712
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License Number State | TX
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