Jo I Kim, L.AC., PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17709 Issued in CA

Practice address

6225 N Fresno St Ste 103
Fresno, CA 93710-5268

Phone

(559) 549-3929

Fax

(855) 702-2255

NPI assigned

Aug 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kineqi Acuwellness Corp

  • Acupuncturist
  • Fresno, CA
  • NPI 1902508898
  NPD Authorized official

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1154847531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105268",
            "telephone_number": "559-549-3929",
            "fax_number": "855-702-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105268",
            "telephone_number": "559-549-3929",
            "fax_number": "855-702-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JO",
        "middle_name": "I",
        "credential": "L.AC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Ju Kim, DO
• Isaac Ying-Jie Kim
• Jae Seob Kim, L.AC.
• Jeena Kim
• Jieun Kim
• John Kim, M.D.
• Jongwook Kim
• Jung Ki Kim, LA.C.
• Kelley C Kim, RD
• Lilian Ae-Rhee Kim, MD

• Acupuncturist in Fresno, CA
• Providers in Fresno, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.