Jung Ki Kim is a General Practice in Sunnyside, Washington. Jung Ki Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jung Ki Kim is 1104845841. The last update date is 2007-07-09.
Jung Ki Kim's current location address is Po Box 58, Sunnyside, Washington. You can contact this provider via phone number 5098373292 and fax number 5098373448. The mailing address for Jung Ki Kim is Po Box 58, Sunnyside, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jung Ki Kim |
|---|---|
| Address | Po Box 58, Sunnyside, Washington |
| Phone Number | 5098373292 |
| Fax Number | 5098373448 |
| Sole Proprietor | Y |
| Credentials | D.D.S.,P.S |
NPI Number Detail
| NPI Number | 1104845841 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 58 |
|---|---|
| City | Sunnyside |
| State | Washington (WA) |
| Post Code | 989440058 |
| Phone Number | 5098373292 |
| Fax Number | 5098373448 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00006739 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49548 | WA | L&I | |
| 867897 | WA | UNITED CONCORDIA | |
| 5013594 | WA | -- |
Post Comment/ Review Below
What is the Jung Ki Kim's 1104845841?
The Jung Ki Kim's NPI (National Provider Identifier) Number is 1104845841. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jung Ki Kim is located?
The Jung Ki Kim is situated at the following address: Po Box 58, Sunnyside, WA, 989440058.
What is Jung Ki Kim's area of expertise and its corresponding taxonomy classification?
The Jung Ki Kim's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When was the Jung Ki Kim's 1104845841 issued?
The Jung Ki Kim's 1104845841 was issued on 2006-07-19.
When was the information regarding Jung Ki Kim most recently updated?
The details pertaining to the Jung Ki Kim, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.