Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Hyetae Kim, MD, PA

Family Medicine Physician in Odessa, TX · enumerated 2007 · authorized official Chad Haggerton, Business Office Mgr..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396873170

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Registry record

Entity type Organization (Type 2)

Legal business name Hyetae Kim, MD, PA

Practice address 1157 E 42nd St, Odessa, TX, 79762

Phone (432) 550-5300

Fax (432) 687-6299

Enumeration date Mar 1, 2007

Last updated in NPPES May 1, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License K1852 (TX) Primary

Authorized official

Name Chad Haggerton

Title Business Office Mgr.

Phone (432) 550-5300

Other identifiers

Identifier	Type	State	Issuer
158174601	Medicaid	TX	-
0017JK	Other	TX	BCBS GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Hyetae Kim, MD, PA located?

The practice location on file with NPPES is in Odessa, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-01.