Active NPI
Sang Kyeong Kim, L.AC.
- Acupuncturist
- Honolulu, HI
National Provider Identifier
1104261387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1044
- Practice address
- 1451 S King St
Suite 402
Honolulu, HI 96814-2506 - Phone
- (808) 354-3775
- NPI assigned
- May 1, 2013
- 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 | 1044 | HI | Primary |
Addresses
Primary practice location
1451 S King St
Suite 402
Honolulu, HI 96814-2506
Mailing address
1451 S King St
Suite 402
Honolulu, HI 96814-2506
Phone (808) 354-3775
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 |
|---|---|---|---|
| 1044 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1104261387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 S KING ST",
"address_2": "SUITE 402",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142506",
"telephone_number": "808-354-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 S KING ST",
"address_2": "SUITE 402",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142506",
"telephone_number": "808-354-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SANG",
"middle_name": "KYEONG",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "1044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.