Provider Demographics
NPI:1972664282
Name:KIM, DON DONGKYOU (AUD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:DONGKYOU
Last Name:KIM
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 FRONTAGE RD N
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2285
Mailing Address - Country:US
Mailing Address - Phone:720-508-3846
Mailing Address - Fax:
Practice Address - Street 1:10601 FRONTAGE RD N
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2285
Practice Address - Country:US
Practice Address - Phone:720-508-3846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD-476231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist