Provider Demographics
NPI:1841795895
Name:KIM'S YIN & YANG ACUPUNCTURE
Entity type:Organization
Organization Name:KIM'S YIN & YANG ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KWANJOONG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:843-757-7512
Mailing Address - Street 1:PO BOX 666
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-0666
Mailing Address - Country:US
Mailing Address - Phone:843-757-7512
Mailing Address - Fax:
Practice Address - Street 1:23 PLANTATION PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6072
Practice Address - Country:US
Practice Address - Phone:843-757-7512
Practice Address - Fax:843-757-7542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty