MEDICARE: KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1013108778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC

Provider Business Mailing Address
First Line	:	921 W CHELTENHAM AVE
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-3208
Country	:	US
Telephone Number	:	215-782-1235
Fax Number	:	215-782-1239

Provider Business Practice Location Address
First Line	:	921 W CHELTENHAM AVE
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-3208
Country	:	US
Telephone Number	:	215-782-1235
Fax Number	:	215-782-1239

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. JHAN D KIM
Credential	:	L.AC., D.C.
Telephone Number	:	267-342-0178

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	06/23/2023

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