Kim, Kevin Minsung

Kim, Kevin Minsung is an individual health care provider with primary practice located at 1717 Olympia Way , Longview WA 98632-3929. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Kim, Kevin Minsung can be contacted via phone (360) 636-1900.

Contact Information

Primary practice address
1717 Olympia Way Longview WA 98632-3929
Phone: (360) 636-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE61034697 Washington
Dental Providers / Pediatric Dentistry 1223P0221X DE61034697 Washington
Dental Providers / Dentist 122300000X DE61034697 Washington

Profile Details

NPI number 1831680750
LBN Legal business name Kim, Kevin Minsung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2018
Last updated Jul 22nd, 2020 - about 4 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.

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