Provider Demographics
NPI:1629827233
Name:KIM, DAWT HLEI
Entity type:Individual
Prefix:
First Name:DAWT
Middle Name:HLEI
Last Name:KIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7267 QUEEN ANNE CT APT C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6514
Mailing Address - Country:US
Mailing Address - Phone:317-515-2924
Mailing Address - Fax:
Practice Address - Street 1:7267 QUEEN ANNE CT APT C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6514
Practice Address - Country:US
Practice Address - Phone:317-515-2924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty