IndividualActive
Andre Kim, D.M.D.
NPI 1316922693 · Prosthodontics · Wichita, KS
Provider details
- NPI number
- 1316922693
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI01538600 (NJ)
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Registry dates
- Enumerated
- 2005-12-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.