Kim, Matthew Min Kyu

Kim, Matthew Min Kyu is an individual health care provider with primary practice located at 121 Towne St , Stamford CT 06902-5930. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Matthew Min Kyu can be contacted via phone (917) 748-7355.

Contact Information

Primary practice address
121 Towne St Stamford CT 06902-5930
Phone: (917) 748-7355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 054305 New York

Profile Details

NPI number 1396943379
LBN Legal business name Kim, Matthew Min Kyu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Aug 9th, 2013 - about 12 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 1396943379 NPPES
New York MEDICAID 03168458

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