Kevin K Shim in Gresham - General Practice

Kevin K Shim - NPI 1386784437

Kevin K Shim is a General Practice in Gresham, Oregon. Kevin K Shim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin K Shim is 1386784437. The last update date is 2007-07-08.

Kevin K Shim's current location address is 1201 Se 223rd Ave, Gresham, Oregon. You can contact this provider via phone number 5036671184. The mailing address for Kevin K Shim is 1201 Se 223rd Ave, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin K Shim
Address 1201 Se 223rd Ave, Gresham, Oregon
Phone Number 5036671184
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1386784437
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1201 Se 223rd Ave
City Gresham
State Oregon (OR)
Post Code 970302574
Phone Number 5036671184
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D8645
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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FAQs about Kevin K Shim

What is the unique identifier code issued to Kevin K Shim by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin K Shim has been assigned the NPI (National Provider Identifier) 1386784437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kevin K Shim's facilities are geographically located?

The facilities of Kevin K Shim are physically situated at the following location: 1201 Se 223Rd Ave, Gresham, OR, 970302574.

What is Kevin K Shim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kevin K Shim is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Kevin K Shim receive the assignment of its 1386784437 from the Centers for Medicare & Medicaid Services?

The Kevin K Shim was issued its 1386784437 by the Centers for Medicare & Medicaid Services on 2007-02-07.

When was the information regarding Kevin K Shim most recently updated?

The details pertaining to the Kevin K Shim, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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