Kee Nam Kim DDS PS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60114393 Issued in WA

Legal business name

KEE NAM KIM DDS PS

Practice address

10303 19TH Ave SE
Suite a
Everett, WA 98208-4258

Phone

(425) 357-8384

NPI assigned

Dec 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kee N Kim, DDS

Title

President

Phone

(425) 922-7910

Specialties & licenses 1

Addresses

Other names 1

• GK Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1629499215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 19TH AVE SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084258",
            "telephone_number": "425-357-8384",
            "fax_number": "425-357-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 19TH AVE SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084258",
            "telephone_number": "425-357-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEE NAM KIM DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-922-7910",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60114393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GK Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KCPP Community Outreach
• Arthur Scott Kearney, NP
• Lee Anthony Kearns, PSY D
• Gregory John Keating-Zorn, DNP
• Catharine R Keay, MD
• Hugh Lawrence Keegan, M.D,, M.P.H.
• Tanya Elena Keenan, M.A.
• Keep on Dancing Mental Health Services, LLC
• Felicia Keeton-Howard
• Keezer Chiropractic Center

• Dentist in Everett, WA
• Providers in Everett, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.