Provider Demographics
NPI:1437272556
Name:DOI, PAUL ALAN KINSO (DDS, MS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ALAN KINSO
Last Name:DOI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 E KANSAS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-6293
Mailing Address - Country:US
Mailing Address - Phone:620-271-0299
Mailing Address - Fax:
Practice Address - Street 1:1620 E KANSAS AVE STE A
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-6293
Practice Address - Country:US
Practice Address - Phone:620-271-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD68031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics