KYUNG HA KIM (NPI# 1659624252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659624252 |
| Entity Type | Individual |
| Full Name | KYUNG HA KIM |
| Credential | DDS |
| Practice Address |
310 W Bertrand Ave Saint Marys KS 66536-1615 |
| Mailing Address |
615 Lauden Dr. Manhattan KS 66503 |
| Practice Telephone | 7854372771 |
| Mailing Telephone | 8586108988 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2016-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5974 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295017374 | Kyung Ha Kim | Student in an Organized Health Care Education/Training Program | 225 E 72nd St Rm 708, New York, NY 10021-4575 | 2011-09-14 |
| Street Address |
310 W BERTRAND AVE |
| City | SAINT MARYS |
| State | KS |
| Zip Code | 66536-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962782680 | J.warren Hildreth, Jr., Dds Pa | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224121 | Flinthillsdentalpa | Dentist | 104 S. De Smet Ln., Ste. 6, St Marys, KS 66536 | 2020-01-14 |
| 1487752788 | Kimra S Qualls | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1407954704 | Back To Health Wellness, Inc | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1023282324 | Alternative Healthcare of St Marys, Pa. | Chiropractor | 513 W Bertrand Ave, St. Marys, KS 66536-0236 | 2008-04-17 |
| 1851349237 | Verne Claussen | Optometrist | 525 W Bertrand Ave, St Marys, KS 66536-1618 | 2006-05-05 |
| 1982684411 | David B Jones | Family Medicine | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2006-01-19 |
| 1629252366 | St Marys Family Practice, Pa | Clinic/Center | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-12-18 |
| 1790813699 | Dr. Verne E Claussen Jr Pa | Optometrist | 525 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-03-01 |
| 1275504839 | Community Healthcare System, Inc | Clinic/Center | 206 Grand Ave, St Marys, KS 66536-1637 | 2006-01-31 |
| 1598751448 | C B Carroll | Family Medicine | 206 S Grand Ave, Saint Marys, KS 66536-1637 | 2005-09-26 |
| Find all providers in zip 66536 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609226448 | Philip Andrew Jenkins | Dentist | 118 Hawthorn Ln Ste A, Saint Marys, GA 31558-9203 | 2016-06-13 |
| 1942559224 | Antoinette Cancelada | Dentist | 104 S Desmet Ln Ste 6, Saint Marys, KS 66536-9826 | 2012-09-03 |
| 1962782680 | J.warren Hildreth, Jr., Dds Pa | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2011-08-25 |
| 1124159827 | Joseph J. Hawkins, Dmd PC | Dentist | 1141 S Michael St, Saint Marys, PA 15857-3040 | 2007-03-07 |
| 1881743334 | Dane B Widner | Dentist | 142 W Spring St, Saint Marys, OH 45885-2312 | 2007-01-10 |
| 1972652444 | Edward Sidney Parker Jr. | Dentist | 368 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | 2007-01-10 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1255401204 | Richard L Spencer | Dentist | 2101 Osborne Rd, Saint Marys, GA 31558-9137 | 2006-11-08 |
| 1801994876 | Jeffrey Dean Fleagle | Dentist | 124 N Front St, Saint Marys, OH 45885-2392 | 2006-09-21 |
| 1174628168 | Stanley M Prince | Dentist | 124a Andrews Way, Saint Marys, GA 31558-9109 | 2006-09-14 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 66536 |
Please comment or provide details below to improve the information on KYUNG HA KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.