Individual
INKYU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
(216) 644-6346
Mailing address
925 TINY TOWN RD APT 14B, CLARKSVILLE, TN 37042-0122
(216) 644-6346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.27195
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/11/2023
Last updated
04/26/2024
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