Ssung J Kimmi in Beaverton - Chiropractor

Ssung J Kimmi - NPI 1912026196

Ssung J Kimmi is a Chiropractor in Beaverton, Oregon. Ssung J Kimmi practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ssung J Kimmi is 1912026196. The last update date is 2011-12-08.

Ssung J Kimmi's current location address is 12795 Sw 3rd St., Beaverton, Oregon. You can contact this provider via phone number 5036414244 and fax number 5036410551. The mailing address for Ssung J Kimmi is 12795 Sw 3rd St., Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Ssung J Kimmi
Address 12795 Sw 3rd St., Beaverton, Oregon
Phone Number 5036414244
Fax Number 5036410551
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1912026196
Provider Enumeration Date 2007-03-28
Last Updated Date 2011-12-08

Provider Mailing Address Detail

Address 12795 Sw 3rd St.
City Beaverton
State Oregon (OR)
Post Code 97005
Phone Number 5036414244
Fax Number 5036410551

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 273444
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
858521000 OR HEALTH INSURANCE PROVIDER

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FAQs about Ssung J Kimmi

What is the unique identifier code issued to Ssung J Kimmi by the Centers for Medicare & Medicaid Services (CMS)?

The Ssung J Kimmi has been assigned the NPI (National Provider Identifier) 1912026196. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Ssung J Kimmi's physical address?

The Ssung J Kimmi is physically located at 12795 Sw 3Rd St., in the city of Beaverton, OR, with the postal code 97005.

What is Ssung J Kimmi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ssung J Kimmi is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

When was the Ssung J Kimmi's 1912026196 issued?

The Ssung J Kimmi's 1912026196 was issued on 2007-03-28.

As of what date were the Ssung J Kimmi's details last updated?

The information pertaining to the Ssung J Kimmi, including its address, specialty, and other details, was most recently updated on 2011-12-08.

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