Individual
DR. KATHY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24812 NORTHERN BLVD, LITTLE NECK, NY 11362-1206
(718) 428-2663
Mailing address
24812 NORTHERN BLVD, LITTLE NECK, NY 11362-1206
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057569
NY
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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