Kim, Nam Kwon

Kim, Nam Kwon is an sole proprietor health care provider with primary practice located at 36000 Shoemaker Lane, Ste 1051 , Fort Cavazos TX 76544-5054. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Kim, Nam Kwon can be contacted via phone (254) 287-2705.

Contact Information

Primary practice address
36000 Shoemaker Lane, Ste 1051 Fort Cavazos TX 76544-5054
Phone: (254) 287-2705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12574 Maryland
Dental Providers / Endodontics 1223E0200X 12574 Maryland

Profile Details

NPI number 1326024985
LBN Legal business name Kim, Nam Kwon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Sep 11th, 2023 - about last year

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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