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NPI Code Detail

MEDICARE: KIM CHIROPRACTIC & REHAB CENTER

MEDICARE: KIM CHIROPRACTIC & REHAB CENTER
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
1111N00000XChiropractorDC006298LPA

General Provider Information

NPI Number : 1437180932
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIM CHIROPRACTIC & REHAB CENTER
Provider Business Mailing Address
First Line : 6616 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2120
Country : US
Telephone Number : 215-782-1235
Fax Number : 215-782-1239
Provider Business Practice Location Address
First Line : 6616 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2120
Country : US
Telephone Number : 215-782-1235
Fax Number : 215-782-1239
Authorized Official
Title or Position : PRESIDENT
Name : DR. SANG H KIM
Credential : D.C.
Telephone Number : 215-782-1835
Provider Enumeration Date : 07/05/2006
Last Update Date : 12/05/2007

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Directions to “KIM CHIROPRACTIC & REHAB CENTER ” Practice Location

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