Kim, Kyung Hyun

Kim, Kyung Hyun is an individual health care provider with primary practice located at 1 Barstow Rd # P23 , Great Neck NY 11021-3501. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Kim, Kyung Hyun can be contacted via phone (516) 466-8744.

Contact Information

Primary practice address
1 Barstow Rd # P23 Great Neck NY 11021-3501
Phone: (516) 466-8744
Fax: (516) 829-3650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5653015 Wisconsin
Dental Providers / General Practice 1223G0001X 053232 New York
Dental Providers / General Practice 1223G0001X 053232-1 New York

Profile Details

NPI number 1427157940
LBN Legal business name Kim, Kyung Hyun
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 4th, 2018 - about 7 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 1427157940 NPPES
Wisconsin MEDICAID 33782800
Wisconsin MEDICAID 02832768

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