Kim, Peter H
Kim, Peter H is an individual health care provider with primary practice located at 16410 Smokey Point Blvd Suite 103, Arlington WA 98223-8415. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kim, Peter H can be contacted via phone (360) 651-1359.Contact Information
Primary practice address
16410 Smokey Point Blvd Suite 103
Arlington WA 98223-8415
Phone: (360) 651-1359
Fax: (360) 659-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DE00008656 | Washington |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | GA10000282 | Washington |
Profile Details
| NPI number | 1093858318 |
|---|---|
| LBN Legal business name | Kim, Peter H |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093858318 | NPPES |
| Washington | Other | 141618 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 5034640 | LABOR & INDUSTRIES |
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