Individual
JOHN SHINWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
80 MAIDEN LN RM 1007, NEW YORK, NY 10038-4764
(212) 386-7812
Mailing address
26 CITATION DR, FREEHOLD, NJ 07728-4661
(908) 907-1282
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006661
NY
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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