Kim-S Acupuncture Clinic Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

KIM-S ACUPUNCTURE CLINIC INC.

Practice address

321 N Mangoustine Ave
Sanford, FL 32771-1098

Phone

(407) 539-3950

Fax

(407) 539-2661

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jin Ho Kim, PH.D

Title

Doctor of Oriental Medicine

Phone

(407) 539-3950

Specialties & licenses 1

Addresses

Other names 1

• Sage Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hayley Martin, MASSAGE THERAPIST

  • Massage Therapist
  • Sanford, FL
  • NPI 1053083717
  NPD

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1659816692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711098",
            "telephone_number": "407-539-3950",
            "fax_number": "407-539-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711098",
            "telephone_number": "407-539-3950",
            "fax_number": "407-539-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM-S ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "407-539-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Kelly Brown, RPH
• Eileen Kelly, ARNP
• Katherine Elizabeth Kersjes
• Kids House of Seminole
• Kids House of Seminole, Inc.
• Eileen E Kim, PA-C
• Jeffrey Kim, DPT
• Jin Ho Kim, DOM, AP, LAC, PD.D.
• Kendrick Sangyeop Kim
• Diane Kimball

• Acupuncturist in Sanford, FL
• Providers in Sanford, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.