Organization
GOLDEN CHIRO ACUPUNCTURE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN H KIM DC, LAC (MGR)
(703) 277-9897
Entity
Organization
Contact information
Practice address
10195 MAIN ST, SUITE F, FAIRFAX, VA 22031-3415
(703) 277-9897
Mailing address
10195 MAIN ST, SUITE F, FAIRFAX, VA 22031-3415
(703) 277-9897
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104556491
VA
171100000X
Acupuncturist
0121000759
VA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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