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

Individual provider Dermatology Physician · NPI 1063594299

Carolyn Kim, MD is a Dermatology in Irving, Texas. Graduated from University of Mississippi School of Medicine in 2002, 24 years ago. Practices with Pure Dermatology Center, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
University of Mississippi School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2005 W Park Dr Ste 120
Irving, TX 75061-7506
Phone: (972) 827-1130
Fax: (972) 597-4290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 239504 (NY)

Record details

NPI number1063594299
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESAugust 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Pure Dermatology Center — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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