Provider Demographics
NPI:1154843456
Name:CHOI, BYUNG KYU (DAOM, EAMP)
Entity Type:Individual
Prefix:
First Name:BYUNG KYU
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:DAOM, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S 348TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7070
Mailing Address - Country:US
Mailing Address - Phone:253-517-5709
Mailing Address - Fax:253-517-5930
Practice Address - Street 1:202 S 348TH ST STE 4
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7070
Practice Address - Country:US
Practice Address - Phone:253-517-5709
Practice Address - Fax:253-517-5930
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-09
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17491171100000X
WAAC60918779171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist