Individual
EUN KYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
3631 CORPORAL STONE ST, BAYSIDE, NY 11361-2137
(917) 843-2323
Mailing address
3631 CORPORAL STONE ST, BAYSIDE, NY 11361-2137
(917) 843-2323
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006013
ACUPUNCTURIST
NY
Enumeration date
07/17/2017
Last updated
09/17/2019
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