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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427157940 | NPPES |
Wisconsin | MEDICAID | 33782800 | |
Wisconsin | MEDICAID | 02832768 |
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