IndividualActive
Charles Kim, D.O.
NPI 1003077769 · Anesthesiology Physician · Lubbock, TX
Provider details
- NPI number
- 1003077769
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- BP10032227 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3601 4th St
Lubbock, TX 79430-0002
Phone: (806) 743-3004
Street-level locationGet directions
Mailing address
906 Milwaukee Ave Apt 609
Lubbock, TX 79416-5965
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.