| NPI | 1932585163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN H KIM Mgr 703-277-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: VA 0104556491) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000759) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |