Provider Demographics
NPI:1851508931
Name:BETHESDA CHIROPRACTIC AND ACCUPUNCTURE INC
Entity Type:Organization
Organization Name:BETHESDA CHIROPRACTIC AND ACCUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYU CHEOL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-341-1930
Mailing Address - Street 1:8014 STATE LINE RD.,
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66208
Mailing Address - Country:US
Mailing Address - Phone:913-341-1930
Mailing Address - Fax:913-341-1960
Practice Address - Street 1:8014 STATE LINE RD.,
Practice Address - Street 2:SUITE 101
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66208
Practice Address - Country:US
Practice Address - Phone:913-341-1930
Practice Address - Fax:913-341-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty