Mijin Kim, DC
Individual provider Active NPI Chiropractor · Winamac, IN
NPI 1376979203 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1376979203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002730A (IN)
- Practice address
- 116 E Pearl St
Winamac, IN 46996-1311 - Phone
- (574) 946-4113
- Fax
- (574) 946-4552
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002730A | IN | Yes |
Addresses
Primary practice location
116 E Pearl St
Winamac, IN 46996-1311
Mailing address
PO Box 250
Winamac, IN 46996-0250
Phone (574) 946-4113
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.