Provider Demographics
NPI:1497077218
Name:CHIN, KATHLEEN (MD)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:UT SOUTHWESTERN MEDICAL CENTER
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9032
Mailing Address - Country:US
Mailing Address - Phone:214-648-3111
Mailing Address - Fax:214-648-9119
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:UT SOUTHWESTERN MEDICAL CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9032
Practice Address - Country:US
Practice Address - Phone:214-648-3111
Practice Address - Fax:214-648-9119
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-20
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107311207V00000X
TXP2105207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology