Provider Demographics
NPI:1790956126
Name:KIM, YOUNG H (DC)
Entity Type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:H
Last Name:KIM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12344 BARKER CYPRESS RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8359
Mailing Address - Country:US
Mailing Address - Phone:281-256-9703
Mailing Address - Fax:281-256-9706
Practice Address - Street 1:12344 BARKER CYPRESS RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8359
Practice Address - Country:US
Practice Address - Phone:281-256-9703
Practice Address - Fax:281-256-9706
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor