Kathy S.M. Kim in Beaverton - Dentist

Kathy S.M. Kim - NPI 1225245004

Kathy S.M. Kim is a Dentist in Beaverton, Oregon. Kathy S.M. Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kathy S.M. Kim is 1225245004. The last update date is 2007-07-08.

Kathy S.M. Kim's current location address is 4150 Sw 110th Ave, Beaverton, Oregon. You can contact this provider via phone number 5036270619 and fax number 5036719054. The mailing address for Kathy S.M. Kim is 4150 Sw 110th Ave, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathy S.M. Kim
Address 4150 Sw 110th Ave, Beaverton, Oregon
Phone Number 5036270619
Fax Number 5036719054
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1225245004
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4150 Sw 110th Ave
City Beaverton
State Oregon (OR)
Post Code 970053016
Phone Number 5036270619
Fax Number 5036719054

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D6477
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Kathy S.M. Kim

What is the unique 10-digit identifier code issued to Kathy S.M. Kim by the Centers for Medicare & Medicaid Services?

The Kathy S.M. Kim has been assigned the NPI (National Provider Identifier) 1225245004 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kathy S.M. Kim is physically located?

The Kathy S.M. Kim is physically situated at the following address: 4150 Sw 110Th Ave, Beaverton, OR, 970053016.

What is Kathy S.M. Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kathy S.M. Kim is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

When was the Kathy S.M. Kim's 1225245004 issued?

The Kathy S.M. Kim's 1225245004 was issued on 2007-05-17.

When was the information pertaining to Kathy S.M. Kim most recently updated or revised?

The details related to Kathy S.M. Kim, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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