Provider Demographics
NPI:1205157047
Name:KIM, HYUN J (LAC)
Entity type:Individual
Prefix:MISS
First Name:HYUN
Middle Name:J
Last Name:KIM
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1580 LEMOINE AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5600
Mailing Address - Country:US
Mailing Address - Phone:201-290-6550
Mailing Address - Fax:551-777-8898
Practice Address - Street 1:1580 LEMOINE AVE STE 9
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5600
Practice Address - Country:US
Practice Address - Phone:201-290-6550
Practice Address - Fax:551-777-8898
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist