Kim, Kevin

Kim, Kevin is an individual health care provider with primary practice located at 201 University Oaks Ste 770 , Round Rock TX 78665-2422. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Kevin can be contacted via phone (512) 579-0069.

Contact Information

Primary practice address
201 University Oaks Ste 770 Round Rock TX 78665-2422
Phone: (512) 579-0069
Fax: (512) 579-0080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22390 Texas

Profile Details

NPI number 1346468618
LBN Legal business name Kim, Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 8th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346468618 NPPES
Texas MEDICAID 174491401

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