Provider Demographics
NPI:1073941258
Name:KIM, PAUL MURANG
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:MURANG
Last Name:KIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E 45TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2425
Mailing Address - Country:US
Mailing Address - Phone:646-476-7950
Mailing Address - Fax:646-476-7935
Practice Address - Street 1:9 E 45TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2425
Practice Address - Country:US
Practice Address - Phone:646-476-7950
Practice Address - Fax:646-476-7935
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003739171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist