Provider Demographics
NPI:1912176595
Name:KIM, MEE OK (DC, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:MEE OK
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 DREXEL DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-7703
Mailing Address - Country:US
Mailing Address - Phone:940-594-5851
Mailing Address - Fax:
Practice Address - Street 1:4112 LEGACY DR
Practice Address - Street 2:SUITE 326
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0810
Practice Address - Country:US
Practice Address - Phone:214-872-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8960111N00000X
TX793688363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606374OtherBLUE CROSS/ BLUE SHIELD