Healthcare Provider Details

I. General information

NPI: 1225946544
Provider Name (Legal Business Name): TOTAL INTEGRATIVE HEALTH CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MONTCHANIN RD STE 60
GREENVILLE DE
19807-2179
US

IV. Provider business mailing address

20 MONTCHANIN RD STE 60
GREENVILLE DE
19807-2179
US

V. Phone/Fax

Practice location:
  • Phone: 302-205-4100
  • Fax:
Mailing address:
  • Phone: 302-205-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EUN KIM
Title or Position: PRESIDENT
Credential: MD
Phone: 484-685-6748