Richard Hyungsang Kim in Mankato - Oral And Maxillofacial Surgery

Richard Hyungsang Kim - NPI 1003977653

Richard Hyungsang Kim is a Oral And Maxillofacial Surgery in Mankato, Minnesota. Richard Hyungsang Kim practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard Hyungsang Kim is 1003977653. The last update date is 2007-07-08.

Richard Hyungsang Kim's current location address is 1990 Premiere Dr, Mankato, Minnesota. You can contact this provider via phone number 5076259330 and fax number 5076251440. The mailing address for Richard Hyungsang Kim is 1990 Premiere Dr, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Hyungsang Kim
Address 1990 Premiere Dr, Mankato, Minnesota
Phone Number 5076259330
Fax Number 5076251440
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1003977653
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1990 Premiere Dr
City Mankato
State Minnesota (MN)
Post Code 560015900
Phone Number 5076259330
Fax Number 5076251440

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D11363
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
355K4KI MN BLUE CROSS

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FAQs about Richard Hyungsang Kim

What is the unique identifier code issued to Richard Hyungsang Kim by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Hyungsang Kim has been assigned the NPI (National Provider Identifier) 1003977653. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Richard Hyungsang Kim is located?

The Richard Hyungsang Kim is situated at the following address: 1990 Premiere Dr, Mankato, MN, 560015900.

What is Richard Hyungsang Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Hyungsang Kim is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Richard Hyungsang Kim receive the assignment of its 1003977653 from the Centers for Medicare & Medicaid Services?

The Richard Hyungsang Kim was issued its 1003977653 by the Centers for Medicare & Medicaid Services on 2006-12-13.

When was the information regarding Richard Hyungsang Kim most recently updated?

The details pertaining to the Richard Hyungsang Kim, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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