Provider / Organization | NPI | Date Certified |
---|---|---|
JOANNE KIM | 1104551373 | 2022-08-07 |
Joanne Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104551373. Registration indicates Joanne Kim is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
Entity Type | Individual |
Provider Name | Joanne Kim DACM |
Practice Office Address | 1225 STUYVESANT AVE UNION, NJ US |
Practice Office Telephone | 9087741586 |
Mailing Address | 501 2ND ST FL 1 PALISADES PARK, NJ 076501801 US |
Code | Practice | License No State |
---|---|---|
171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | 25MZ00160600
NJ |