Kim, Stella Kim
Kim, Stella Kim is an sole proprietor health care provider with primary practice located at 516 Oronoco St , Alexandria VA 22314-2306. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kim, Stella Kim can be contacted via phone (703) 549-1960.Contact Information
Primary practice address
516 Oronoco St
Alexandria VA 22314-2306
Phone: (703) 549-1960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401414335 | Virginia |
Profile Details
| NPI number | 1467892943 |
|---|---|
| LBN Legal business name | Kim, Stella Kim |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1467892943 | NPPES |
| New York | MEDICAID | 00384309 |
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