Individual
MR. JOHN TAE-KWON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.AC.
Contact information
Practice address
501 TROPHY LAKE DR, SUITE 322, TROPHY CLUB, TX 76262-5222
(214) 643-9940
Mailing address
4600 N JOSEY LN, # 717, CARROLLTON, TX 75010-4616
(615) 415-1876
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01261
TX
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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