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1871578252

NPI Code Detail

MEDICARE: STANLEY HYOCHON KIM MD

MEDICARE: STANLEY HYOCHON KIM MD

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	2085R0204X	Vascular & Interventional Radiology Physician	L6472	TX
2	207T00000X	Neurological Surgery Physician	CDR.0005403	CO
3	207T00000X	Neurological Surgery Physician	L6472	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871578252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY HYOCHON KIM MD

Provider Business Mailing Address
First Line	:	8333 CROSS PARK DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5154
Country	:	US
Telephone Number	:	512-494-6024
Fax Number	:	866-563-6244

Provider Business Practice Location Address
First Line	:	8333 CROSS PARK DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5154
Country	:	US
Telephone Number	:	512-494-6024
Fax Number	:	866-563-6244

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	07/16/2025

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Directions to “ STANLEY HYOCHON KIM MD” Practice Location

Language	Start Address	Practice Location

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