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1700135480 NPI number — KYOUNG HWAN KIM L. AC

NPI Number: 1700135480
Health Care Provider/Practitioner: KYOUNG HWAN KIM L. AC

Information about “1700135480” NPI (KYOUNG HWAN KIM L. AC) exists in 1700135480 in HTML format HTML  |  1700135480 in plain Text format TXT  |  1700135480 in PDF (Portable Document Format) PDF  |  1700135480 in an XML format XML  formats.

NPI Number : 1700135480 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700135480",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "KYOUNG",
    "MiddleName": "HWAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L. AC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7901 GREENTREE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20817-1301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-294-9499",
    "MailingAddressFaxNumber": "410-497-1113",
    "FirstLinePracticeLocationAddress": "7901 GREENTREE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20817-1301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-294-9499",
    "PracticeLocationAddressFaxNumber": "410-497-1113",
    "EnumerationDate": "09/10/2012",
    "LastUpdateDate": "04/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0121000521",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "U01518",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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