Dong Kim
Dermatologist
1702 University Dr S
Fargo
, North Dakota 58103-4940
Dong Kim
Dermatologist
1702 University Dr S
Fargo
, North Dakota 58103-4940
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dong Kim
- 1702 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Phone :
Second Address
- Dong Kim
- 1702 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Phone : (701) 364-3300
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 16544 | ND |
| N | 207N00000X | Dermatologist | 67131 | MN |
National Provider Identifier
| NPI | 1043666274 |
|---|---|
| Provider Name | Dong Kim |
| First Address | Fargo, ND 58103-4940 |
| Second Address | Fargo, ND 58103-4940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2016 |
| Last Update Date | 13/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.