Provider Demographics
NPI:1932388204
Name:KIM, HYUN (DC)
Entity Type:Individual
Prefix:DR
First Name:HYUN
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SW 16TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1228
Mailing Address - Country:US
Mailing Address - Phone:352-351-3413
Mailing Address - Fax:352-629-6667
Practice Address - Street 1:1009 SW 16TH LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1228
Practice Address - Country:US
Practice Address - Phone:352-351-3413
Practice Address - Fax:352-629-6667
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9421111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor