NPI 1003977653

Richard Hyungsang Kim, DDSMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Mankato, MN

Practice location

Address: 1990 Premiere Dr, Mankato, MN 56001-5900
Phone: (507) 625-9330
Fax: (507) 625-1440

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence D11363 (MN)

Other Dentist providers in Minnesota →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 100680 (MN)

Registry record

NPI: 1003977653
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.