Provider Demographics
NPI:1548318421
Name:KIM, NAM HOON (L AC)
Entity type:Individual
Prefix:MR
First Name:NAM
Middle Name:HOON
Last Name:KIM
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27124 20TH PL S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-6962
Mailing Address - Country:US
Mailing Address - Phone:253-941-5672
Mailing Address - Fax:253-941-9886
Practice Address - Street 1:27124 20TH PL S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-6962
Practice Address - Country:US
Practice Address - Phone:253-941-5672
Practice Address - Fax:253-941-9886
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000083171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist