# KIM GON ACUPUNCTURE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Korea Acupuncture and Herbal Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306988936
- **Authorized official:** GON KIM EAMP (PRESIDENT)
- **Authorized official phone:** (425) 430-1336

## Contact information

- **Practice address:** 9806 SE CARR RD, RENTON, WA 98055-5813
- **Practice address phone:** (425) 430-1336
- **Practice address fax:** (425) 430-5583
- **Mailing address:** 9806 SE CARR RD, RENTON, WA 98055-5813
- **Mailing address phone:** (425) 430-1336
- **Mailing address fax:** (425) 430-5583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00002784 | WA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 04/07/2015