Provider Demographics
NPI:1730953837
Name:K ACUPUNCTURE WELLNESS PC
Entity type:Organization
Organization Name:K ACUPUNCTURE WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-913-5845
Mailing Address - Street 1:315 MADISON AVE BSMT 99
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5457
Mailing Address - Country:US
Mailing Address - Phone:201-913-5845
Mailing Address - Fax:
Practice Address - Street 1:315 MADISON AVE BSMT 99
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5457
Practice Address - Country:US
Practice Address - Phone:201-913-5845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty