Healthcare Provider Details

I. General information

NPI: 1831029347
Provider Name (Legal Business Name): JOHN KIM D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 BEE CAVES RD STE 121
AUSTIN TX
78746-7060
US

IV. Provider business mailing address

3201 BEE CAVES RD STE 121
AUSTIN TX
78746-7060
US

V. Phone/Fax

Practice location:
  • Phone: 512-987-4409
  • Fax: 512-233-2657
Mailing address:
  • Phone: 512-987-4409
  • Fax: 512-233-2657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number16944
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: