Kim, Kenny

Kim, Kenny is an individual health care provider with primary practice located at 20147 Pioneer Blvd , Lakewood CA 90715-1051. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kim, Kenny can be contacted via phone (562) 924-0558.

Contact Information

Primary practice address
20147 Pioneer Blvd Lakewood CA 90715-1051
Phone: (562) 924-0558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 54955 California

Profile Details

NPI number 1336352830
LBN Legal business name Kim, Kenny
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Dec 14th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers