Kim, Spencer

Kim, Spencer is an sole proprietor health care provider with primary practice located at 642 Ulukahiki St Ste 308 , Kailua HI 96734-4439. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Kim, Spencer can be contacted via phone (808) 261-5354.

Contact Information

Primary practice address
642 Ulukahiki St Ste 308 Kailua HI 96734-4439
Phone: (808) 261-5354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DT-2748 Hawaii

Profile Details

NPI number 1184155400
LBN Legal business name Kim, Spencer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2017
Last updated Jul 9th, 2021 - about 5 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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