Tan, Kimty
Tan, Kimty is an individual health care provider with primary practice located at 1018 W Lehigh Ave , Philadelphia PA 19133-1640. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tan, Kimty can be contacted via phone (215) 227-1881.Contact Information
Primary practice address
1018 W Lehigh Ave
Philadelphia PA 19133-1640
Phone: (215) 227-1881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS026581-L | Pennsylvania |
Profile Details
| NPI number | 1265424642 |
|---|---|
| LBN Legal business name | Tan, Kimty |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265424642 | NPPES |
| Pennsylvania | MEDICAID | 0011577740002 |
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