Provider Demographics
NPI:1740459148
Name:KIM, YUN S (D C)
Entity type:Individual
Prefix:
First Name:YUN
Middle Name:S
Last Name:KIM
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 E SEMORAN BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5910
Mailing Address - Country:US
Mailing Address - Phone:407-788-9955
Mailing Address - Fax:407-788-9966
Practice Address - Street 1:3060 E SEMORAN BLVD
Practice Address - Street 2:STE 108
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5910
Practice Address - Country:US
Practice Address - Phone:407-788-9955
Practice Address - Fax:407-788-9966
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 000 7351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70997Medicare UPIN