Individual provider · Type 1 NPI

Edward Kim

Other Specialist/Technologist · Fort Carson, CO

NPI number 1194601674 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

501 other providers at this address

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About NPI 1194601674

Edward Kim's National Provider Identifier is 1194601674, issued on Aug 12, 2025. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Fort Carson, CO. The record was last updated on Aug 12, 2025.