Organization
MIRACLE HEALING ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY KIM DAC. (DIPL. AC., DAC.)
(443) 303-6946
Entity
Organization
Contact information
Practice address
5052 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7750
(443) 303-6946
Mailing address
5006 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6719
(516) 851-7601
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
261QH0100X
Health Service Clinic/Center
U02470
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U02470
STATE LICENSE
MD
Enumeration date
01/24/2018
Last updated
05/11/2022
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