Kelly Yeon Su Kim
Pediatric Dentist
30001 Crown Valley Pkwy Suite G
Laguna Niguel
, California 92677-1723
Kelly Yeon Su Kim
Pediatric Dentist
30001 Crown Valley Pkwy Suite G
Laguna Niguel
, California 92677-1723
(949) 495-4245
Write a Review Share Save Call
About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Kelly Yeon Su Kim
- 30001 Crown Valley Pkwy Suite G
- Laguna Niguel, CA
- Zip : 92677-1723
- Phone : (949) 495-4245
Second Address
- Kelly Yeon Su Kim
- 30001 Crown Valley Pkwy Suite G
- Laguna Niguel, CA
- Zip : 92677-1723
- Phone : (949) 495-4245
Reviews
FAQs
Where did Kelly Yeon Su Kim attend graduate school?
Where did Kelly Yeon Su Kim do her residency?
Where did Kelly Yeon Su Kim do her fellowship?
Is Kelly Yeon Su Kim board certified?
What type of doctor is Kelly Yeon Su Kim
In what state does Kelly Yeon Su Kim practice in?
Where is Kelly Yeon Su Kim ’s practice located?
What is Kelly Yeon Su Kim ’s gender?
Is Kelly Yeon Su Kim a sole practitioner?
Is Kelly Yeon Su Kim accepting new patients?
What languages does Kelly Yeon Su Kim speak?
Does Kelly Yeon Su Kim accept insurance?
Does Kelly Yeon Su Kim offers telemedicine?
What is Kelly Yeon Su Kim ’s professional license number?
What is Kelly Yeon Su Kim ’s NPI number?
Does Kelly Yeon Su Kim have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0221X | Pediatric Dentist | 055114 | NY |
| Y | 1223P0221X | Pediatric Dentist | 58075 | CA |
National Provider Identifier
| NPI | 1053625715 |
|---|---|
| Provider Name | Kelly Yeon Su Kim |
| First Address | Laguna Niguel, CA 92677-1723 |
| Second Address | Laguna Niguel, CA 92677-1723 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2010 |
| Last Update Date | 16/06/2011 |
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.