Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hyetae Kim, MD, PA

Organization Family Medicine Physician · NPI 1396873170

Hyetae Kim, MD, PA is a Family Medicine Physician in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1157 E 42nd St
Odessa, TX 79762-7723
Phone: (432) 550-5300
Fax: (432) 687-6299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence K1852 (TX)

Record details

NPI number1396873170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Haggerton — Business Office Mgr. · (432) 550-5300
NPI enumeratedMarch 1, 2007
Last updated in NPPESMay 1, 2008
Mailing address1157 E 42nd St, Odessa, TX 79762-7723

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