Individual
DR. KATHY S.M. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4150 SW 100TH AVE, BEAVERTON, OR 97005
(503) 627-0619
(503) 671-9054
Mailing address
4150 SW 110TH AVE, BEAVERTON, OR 97005-3016
(503) 627-0619
(503) 671-9054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6477
OR
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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