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

Kyu Tae Kim, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1679072458

Kyu Tae Kim, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Houston, Texas. Graduated from Virginia Commonwealth Univ School of Dentistry in 2017, 9 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Trained at
Virginia Commonwealth Univ School of Dentistry
Licensed in
TX
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4009
Phone: (713) 792-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP137463 (TX)

Record details

NPI number1679072458
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 7, 2018
Last updated in NPPESMarch 27, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolVIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduated 2017 (9 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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