Provider Demographics
NPI:1669138129
Name:KIM, SEON HEE HWANG (DACM, PHD, LAC)
Entity type:Individual
Prefix:DR
First Name:SEON HEE
Middle Name:HWANG
Last Name:KIM
Suffix:
Gender:F
Credentials:DACM, PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 W BAY AREA BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2674
Mailing Address - Country:US
Mailing Address - Phone:832-284-4091
Mailing Address - Fax:
Practice Address - Street 1:1560 W BAY AREA BLVD STE 305
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2674
Practice Address - Country:US
Practice Address - Phone:832-284-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02003171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist