| NPI | 1851027254 |
|---|---|
| Other Name | KEVIN KB KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA de61172402) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033884) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |