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NPI Code Detail

MEDICARE: MR. SOON Y SHIN D.C.

MEDICARE: MR. SOON Y SHIN D.C.
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
1111N00000XChiropractorT-00760KS

General Provider Information

NPI Number : 1841205580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SOON Y SHIN D.C.
Provider Business Mailing Address
First Line : 8437 STATE AVE
Second Line : SUITE A
City : KANSAS CITY
State : KS
Zip : 66112-1842
Country : US
Telephone Number : 913-299-0276
Fax Number : 913-299-3775
Provider Business Practice Location Address
First Line : 8437 STATE AVE
Second Line : SUITE A
City : KANSAS CITY
State : KS
Zip : 66112-1842
Country : US
Telephone Number : 913-299-0276
Fax Number : 913-299-3775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ MR. SOON Y SHIN D.C.” Practice Location

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