# MIRACLE HEALING ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124526181
- **Authorized official:** DR. HENRY KIM DAC. (DIPL. AC., DAC.)
- **Authorized official phone:** (443) 303-6946

## Contact information

- **Practice address:** 5052 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7750
- **Practice address phone:** (443) 303-6946
- **Mailing address:** 5006 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6719
- **Mailing address phone:** (516) 851-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | U02470 | MD | — |

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 05/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | U02470 | STATE LICENSE | MD |