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Individual
JESSICA KIM
Active
Individual
JESSICA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, D.C., L.AC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
DC 32286
CA
111NS0005X
Sports Physician Chiropractor
DC32286
CA
171100000X
Acupuncturist
AC 14601
CA
171100000X
Acupuncturist
AC14601
CA
363A00000X
Physician Assistant
Primary
55087
CA
Other
Enumeration date
03/02/2012
Last updated
05/05/2026
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