Provider Demographics
NPI:1013108778
Name:KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC
Entity Type:Organization
Organization Name:KIM CHIROPRACTIC & REHAB CENTER - ELKINS PARK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DC
Authorized Official - Phone:267-342-0178
Mailing Address - Street 1:921 W CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3208
Mailing Address - Country:US
Mailing Address - Phone:215-782-1235
Mailing Address - Fax:215-782-1239
Practice Address - Street 1:921 W CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-3208
Practice Address - Country:US
Practice Address - Phone:215-782-1235
Practice Address - Fax:215-782-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty