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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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