Shim, Kevin K
Shim, Kevin K is an sole proprietor health care provider with primary practice located at 1201 Se 223Rd Ave Suite 260, Gresham OR 97030-2574. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shim, Kevin K can be contacted via phone (503) 667-1184.Contact Information
Primary practice address
1201 Se 223Rd Ave Suite 260
Gresham OR 97030-2574
Phone: (503) 667-1184
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D8645 | Oregon |
Profile Details
NPI number | 1386784437 |
---|---|
LBN Legal business name | Shim, Kevin K |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2007 |
Last updated | Jul 8th, 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.
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