Provider Demographics
NPI:1750582367
Name:JAMES, KEVIN KIM (DMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:KIM
Last Name:JAMES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-795-1978
Mailing Address - Fax:561-795-9508
Practice Address - Street 1:685 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411
Practice Address - Country:US
Practice Address - Phone:561-795-1978
Practice Address - Fax:561-795-9508
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9240122300000X
FLDN18768122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist