Individual provider · Type 1 NPI

Andrew Kim

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1306787148 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

2713 E Mead Pl
Chandler, AZ 85249-5104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306787148

Andrew Kim's National Provider Identifier is 1306787148, issued on Apr 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 4, 2026.