Provider Demographics
NPI:1033702535
Name:KIM, KARA DANBI (NP-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:DANBI
Last Name:KIM
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:DANBI
Other - Middle Name:
Other - Last Name:KWON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:2829 BABCOCK RD STE 636
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6014
Mailing Address - Country:US
Mailing Address - Phone:210-615-8460
Mailing Address - Fax:
Practice Address - Street 1:2829 BABCOCK RD STE 636
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6014
Practice Address - Country:US
Practice Address - Phone:210-615-8460
Practice Address - Fax:210-963-8132
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021053363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily