Provider Demographics
NPI:1649603846
Name:KIM, YUN J (DNP)
Entity type:Individual
Prefix:
First Name:YUN
Middle Name:J
Last Name:KIM
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 GARDEN BROOK DR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2306
Mailing Address - Country:US
Mailing Address - Phone:464-360-0796
Mailing Address - Fax:
Practice Address - Street 1:2944 MOTLEY DR STE 401
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3464
Practice Address - Country:US
Practice Address - Phone:972-289-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306573363LA2200X
TX1124359363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health