Kim Koller, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

J3519 Issued in TX

Practice address

910 Louisiana St
Room 17074
Houston, TX 77002-4916

Phone

(713) 241-7198

NPI assigned

Oct 28, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1336511484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 EL DORADO OAKS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770594041",
            "telephone_number": "713-241-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST",
            "address_2": "ROOM 17074",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "713-241-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLER",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "J3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Kolcun, MD
• Evelin Lidiet Kolenc, MSN, APRN-FNP-C
• Rasheedat K Koleosho, PMHNP-BC
• Jessica Helen Kolesar
• Bracken Scott Kolle, M.D.
• Rachel Koller, DNP, NP
• Kollette Tolbert, LLC
• Shreya Kolli, MD
• Beatrice Kollie
• Brenna Kollmorgen, OTR

• Occupational Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.