Provider Demographics
NPI:1336213834
Name:HSIEH, KIM-YO (DC)
Entity Type:Individual
Prefix:
First Name:KIM-YO
Middle Name:
Last Name:HSIEH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 RIDGEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5700
Mailing Address - Country:US
Mailing Address - Phone:510-889-0400
Mailing Address - Fax:
Practice Address - Street 1:3402 RIDGEVIEW PL
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-5700
Practice Address - Country:US
Practice Address - Phone:510-889-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29065111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health