Kyu Tae Kim is a Houston, Texas based nurse anesthetist with 8 years of experience as Anesthesia Administration. He completed he graduation from Virginia Commonwealth Univ School Of Dentistry in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kyu Tae Kim is AP137463 for Anesthesia Administration in Texas. his current practice location is 1515 Holcombe Blvd, Houston. Patients can reach him at 713-792-6161. Kyu Tae Kim is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1679072458. Kyu Tae Kim is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kyu Tae Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
8+ years
Medical School Attended:
Virginia Commonwealth Univ School Of Dentistry
Graduation Year:
2017
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1515 Holcombe Blvd, Houston, Texas, 77030-4009
Phone:
713-792-6161
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7416218938
Enrollment ID:
I20180226001641
NPI Number:
1679072458
NPI Enumeration Date:
07 Feb, 2018
NPI Last Update On:
27 Mar, 2019
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyu Tae Kim are as mentioned below.
License Number
Specialization
State
Status
AP137463
Anesthesia Administration
Texas
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(450076)
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kyu Tae Kim has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Physicians Referral Service (7911801410)
2217
Other Medical Identifiers:
Other legacy medical identifiers associated with Kyu Tae Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
382737001
Medicaid
Texas
8JV599
Other
Texas
BCBS
382737002
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
P O Box 4439, Houston, Texas
Zip:
77210-4439
Phone Number:
713-792-2991
Fax Number:
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Patients can reach Kyu Tae Kim at 1515 Holcombe Blvd, Houston, Texas or can call to book an appointment on 713-792-6161.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.