Kim, Kyung Il

Kim, Kyung Il is an individual health care provider with primary practice located at 214 20 45 Road , Bayside NY 11361-3338. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Kyung Il can be contacted via phone (718) 229-6202.

Contact Information

Primary practice address
214 20 45 Road Bayside NY 11361-3338
Phone: (718) 229-6202
Fax: (718) 229-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 042495 New York

Profile Details

NPI number 1922140425
LBN Legal business name Kim, Kyung Il
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1922140425 NPPES
New York MEDICAID 0089160

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