Kim, King

Kim, King is an individual health care provider with primary practice located at 1325 S Pine St Suite 102, Melbourne FL 32901-3189. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kim, King can be contacted via phone (321) 725-5377.

Contact Information

Primary practice address
1325 S Pine St Suite 102 Melbourne FL 32901-3189
Phone: (321) 725-5377
Fax: (321) 951-3393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN182228 Florida

Profile Details

NPI number 1639358211
LBN Legal business name Kim, King
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated May 19th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639358211 NPPES
Florida Other 63A10 BLUE CROSS BLUE SHIELD OF FLORIDA

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