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

Grace Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679991897

Grace Kim is a Student in an Organized Health Care Education/Training Program in Southlake, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

925 E Southlake Blvd Ste 100
Southlake, TX 76092
Phone: (817) 912-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1935 Medical District Dr, Dallas, TX 75235-7701 — (214) 456-2735

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence Q9401 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679991897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address1935 Medical District Dr, Dallas, TX 75235-7701

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