Eunae Kim, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

369 Issued in GA

Practice address

1605 Buford Hwy Ste R
Buford, GA 30518-8832

Phone

(470) 333-2580

NPI assigned

Nov 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eunae Grace Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144395666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 BELMORE MANOR CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244338",
            "telephone_number": "714-814-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BUFORD HWY STE R",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188832",
            "telephone_number": "470-333-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUNAE",
        "name_prefix": "Prof.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "369",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "CA0102080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNAE",
            "last_name": "KIM",
            "middle_name": "GRACE",
            "credential": "ACUPUNCTURIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alhana Khobeir, PA-C
• Mohsen Khodakaram, MD
• Kidz Speak Therapeutic Services LLC
• Aram Kim
• Ealeen Kim
• Eunji Kim, MS
• Jooyoung Kim, DC
• Joyce Sheon Kim, D.M.D.
• Jung Ik Kim, MD
• Roy Jun Kim, D.M.D

• Acupuncturist in Buford, GA
• Providers in Buford, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.