Individual
DR. JACKYE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15521 MIDLOTHIAN TPKE STE 402, MIDLOTHIAN, VA 23113-7313
(804) 399-0002
Mailing address
7305 HANCOCK VILLAGE DR # 118, CHESTERFIELD, VA 23832-2771
(804) 399-0002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556626
VA
Other
Enumeration date
10/31/2008
Last updated
12/12/2019
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