Individual
CAROLINE Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1633 NW VICKSBURG AVE, BEND, OR 97703-1435
(503) 343-9848
Mailing address
1633 NW VICKSBURG AVE, BEND, OR 97703-1435
(503) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC180366
OR
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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