Provider Demographics
NPI:1972682235
Name:KIMIN ACUPUNCTURE INC
Entity Type:Organization
Organization Name:KIMIN ACUPUNCTURE INC
Other - Org Name:KIMIN ACUPUNCTURE & HERBAL CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMIN
Authorized Official - Middle Name:KATHY
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LAC
Authorized Official - Phone:281-333-0881
Mailing Address - Street 1:1335 SPACE PARK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-333-0881
Mailing Address - Fax:281-333-0881
Practice Address - Street 1:1335 SPACE PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-333-0881
Practice Address - Fax:281-333-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty