Individual
DR. KEVIN DAESU SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., PH.D.
Contact information
Practice address
706A N REILLY RD, FAYETTEVILLE, NC 28303-5619
(910) 868-8865
Mailing address
706A N REILLY RD, FAYETTEVILLE, NC 28303-5619
(910) 868-8865
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
202
NC
171100000X
Acupuncturist
4641
CA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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