Active NPI
Ki S Kim, L, AC.
- Acupuncturist
- Kingston, WA
National Provider Identifier
1003133638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60131515
- Practice address
- 8202 NE State Highway 104
Suite 105
Kingston, WA 98346-9454 - Phone
- (360) 297-0037
- Fax
- (360) 267-0420
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60131515 | WA | Primary |
Addresses
Primary practice location
8202 NE State Highway 104
Suite 105
Kingston, WA 98346-9454
Mailing address
8202 NE State Highway 104
Suite 105
Kingston, WA 98346-9454
Phone (360) 297-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC60131515 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1003133638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 NE STATE HIGHWAY 104",
"address_2": "SUITE 105",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469454",
"telephone_number": "360-297-0037",
"fax_number": "360-267-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 NE STATE HIGHWAY 104",
"address_2": "SUITE 105",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469454",
"telephone_number": "360-297-0037",
"fax_number": "360-267-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KI",
"middle_name": "S",
"credential": "L, AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60131515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.