Dr Kenny Kim, DDS - Dentist in San Jose, CA

Dr Kenny Kim, DDS is a Dentist - General Practice based in San Jose, California. Dr Kenny Kim is licensed to practice in California (license number 48620) and his current practice location is 1720 Hamilton Ave, San Jose, California. He can be reached at his office (for appointments etc.) via phone at (408) 269-6982.

NPI number for Dr Kenny Kim is 1174733562 and his current mailing address is 1720 Hamilton Ave, San Jose, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174733562.

Contact Information

Dr Kenny Kim, DDS
1720 Hamilton Ave,
San Jose, CA 95125-5424
(408) 269-6982
Not Available



Healthcare Provider's Profile

Full NameDr Kenny Kim
GenderMale
SpecialityDentist - General Practice
Location1720 Hamilton Ave, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174733562
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 09/26/2016

Medical Identifiers

Medical identifiers for Dr Kenny Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174733562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 48620 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenny Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenny Kim, DDS
1720 Hamilton Ave,
San Jose, CA 95125-5424

Ph: (408) 269-6982
Dr Kenny Kim, DDS
1720 Hamilton Ave,
San Jose, CA 95125-5424

Ph: (408) 269-6982

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› Verified 9 days ago


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