Kim, Michael C
Kim, Michael C is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Michael C can be contacted via phone (253) 939-6648.Contact Information
Primary practice address
17500 Se 392Nd St
Auburn WA 98092-9705
Phone: (253) 939-6648
Fax: (253) 887-8737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00010055 | Washington |
Profile Details
| NPI number | 1447387766 |
|---|---|
| LBN Legal business name | Kim, Michael C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1447387766 | NPPES |
| Washington | MEDICAID | 5400114 |
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