Clark Wong Kim is a Nutritionist in Parker, Arizona. Clark Wong Kim practices all healthcare services and medical treatments related to Nutritionist. The NPI Number for Clark Wong Kim is 1548327935. The last update date is 2007-07-08.
Clark Wong Kim's current location address is 1112 W Arizona Ave, Parker, Arizona. You can contact this provider via phone number 9286698764 and fax number 9097909353. The mailing address for Clark Wong Kim is 1112 W Arizona Ave, Parker, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Wong Kim |
|---|---|
| Address | 1112 W Arizona Ave, Parker, Arizona |
| Phone Number | 9286698764 |
| Fax Number | 9097909353 |
| Sole Proprietor | N |
| Credentials | HYNOTIST |
NPI Number Detail
| NPI Number | 1548327935 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1112 W Arizona Ave |
|---|---|
| City | Parker |
| State | Arizona (AZ) |
| Post Code | 853445766 |
| Phone Number | 9286698764 |
| Fax Number | 9097909353 |
Provider's Primary Taxonomy Detail
| Speciality | Nutritionist |
|---|---|
| Taxonomy | 133N00000X |
| Licence No | 804-363 |
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Definition: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional |
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What is the unique 10-digit identifier code assigned to Clark Wong Kim by the Centers for Medicare & Medicaid Services?
The Clark Wong Kim has been issued the NPI (National Provider Identifier) 1548327935 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Clark Wong Kim located?
The Clark Wong Kim is located at 1112 W Arizona Ave, Parker, AZ 853445766.
What is Clark Wong Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clark Wong Kim is Nutritionist, and the corresponding taxonomy classification code for this specialized field is 133N00000X.
On what date did the Clark Wong Kim receive its 1548327935 assignment from the Centers for Medicare & Medicaid Services?
The Clark Wong Kim was assigned its 1548327935 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the Clark Wong Kim's details last updated?
The information pertaining to the Clark Wong Kim, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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