Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH9101 | FL |
N | 111NN0400X | Neurology | CH9101 | FL |
NPI | 1427009620 |
---|---|
Provider Name | Dr. Yong H Kim |
First Address | Wesley Chapel, FL 33544-6790 |
Second Address | Wesley Chapel, FL 33544-6790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 20/11/2018 |