Provider Demographics
NPI:1457512451
Name:GOLDE, KIMBERLY TRINCA (MD)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:TRINCA
Last Name:GOLDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2120 ROUND ROCK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4010
Mailing Address - Country:US
Mailing Address - Phone:512-244-1991
Mailing Address - Fax:512-244-1786
Practice Address - Street 1:2120 ROUND ROCK AVE STE 100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4010
Practice Address - Country:US
Practice Address - Phone:512-244-1991
Practice Address - Fax:512-244-1786
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAL-235246207W00000X, 208600000X
MA249043207W00000X
TXP6397207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX325361ZPKBMedicare PIN