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Individual
KIKWANG NAM
Active
Individual
KIKWANG NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008082
GA
111NI0013X
Independent Medical Examiner Chiropractor
CHIR008082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013249978
NPI
GA
Enumeration date
05/21/2015
Last updated
05/21/2015
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