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Organization

KIM CHIROPRACTIC CLINIC, P.A.

Active
Parent organization
KIM CHIROPRACTIC CLINIC, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIM CHIROPRACTIC CLINIC, P.A.
Authorized official
DR. EUNG KWON KIM D.C. (PRESIDENT/OWNER)
(703) 815-2300
Entity
Organization

Contact information

Practice address
13880 BRADDOCK RD STE 207, CENTREVILLE, VA 20121-2463
(703) 815-2300
(703) 815-1313
Mailing address
13880 BRADDOCK RD STE 207, CENTREVILLE, VA 20121-2463
(703) 815-2300
(703) 815-1313

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555864
VA

Other

Enumeration date
01/10/2008
Last updated
11/25/2009
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