IndividualActive
Edward Kim
NPI 1194601674 · Other Specialist/Technologist · Fort Carson, CO
Provider details
- NPI number
- 1194601674
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone: (719) 526-7120
Approximate (ZIP-level) locationGet directions
Mailing address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.