Ki Tae Kim is a Chiropractor in San Jose, California. Ki Tae Kim practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ki Tae Kim is 1629106117. The last update date is 2007-07-08.
Ki Tae Kim's current location address is 206 N Bascom Ave Ste A, San Jose, California. You can contact this provider via phone number 4089759606 and fax number 4089759616. The mailing address for Ki Tae Kim is 206 N Bascom Ave Ste A, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ki Tae Kim |
|---|---|
| Address | 206 N Bascom Ave Ste A, San Jose, California |
| Phone Number | 4089759606 |
| Fax Number | 4089759616 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1629106117 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 206 N Bascom Ave Ste A |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951281866 |
| Phone Number | 4089759606 |
| Fax Number | 4089759616 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC27786 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ki Tae Kim by the Centers for Medicare & Medicaid Services?
The Ki Tae Kim has been assigned the NPI (National Provider Identifier) 1629106117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Ki Tae Kim's facilities are geographically located?
The facilities of Ki Tae Kim are physically situated at the following location: 206 N Bascom Ave Ste A, San Jose, CA, 951281866.
What is the Ki Tae Kim's specialty and taxonomy code?
The Ki Tae Kim's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When did Ki Tae Kim receive its 1629106117 assignment?
The Ki Tae Kim was assigned its 1629106117 on 2007-02-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Ki Tae Kim most recently updated or revised?
The information pertaining to Ki Tae Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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