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1952529018 NPI number — JONG KYU KIM, D.C., P.C.

NPI Number: 1952529018
Health Care Provider/Practitioner: JONG KYU KIM, D.C., P.C.

Information about “1952529018” NPI (JONG KYU KIM, D.C., P.C.) exists in 1952529018 in HTML format HTML  |  1952529018 in plain Text format TXT  |  1952529018 in PDF (Portable Document Format) PDF  |  1952529018 in an XML format XML  formats.

NPI Number : 1952529018 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952529018",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JONG KYU KIM, D.C., P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1291 OLD PEACHTREE RD NW STE 423",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUWANEE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30024-2033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-945-9035",
    "MailingAddressFaxNumber": "770-814-9277",
    "FirstLinePracticeLocationAddress": "1291 OLD PEACHTREE RD NW STE 423",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUWANEE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30024-2033",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-945-9035",
    "PracticeLocationAddressFaxNumber": "770-814-9277",
    "EnumerationDate": "04/23/2007",
    "LastUpdateDate": "08/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KIM",
    "AuthorizedOfficialFirstName": "JONG",
    "AuthorizedOfficialMiddleName": "KYU",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "770-945-9035",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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