Soon Ae Kim, D.C., L. AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006569 Issued in GA

Practice address

2950 Horizon Park Drive
Suite D
Suwanee, GA 30024

Phone

(678) 221-7466

Fax

(770) 676-6592

NPI assigned

Feb 6, 2009

Last updated

Mar 8, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim's Acupuncture and Chiropractic

  dba Yes Clinic

  • Chiropractor
  • Duluth, GA
  • NPI 1447912803
  NPD Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236470400000",
    "number": "1689813149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HORIZON PARK DRIVE",
            "address_2": "SUITE",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HORIZON PARK DRIVE",
            "address_2": "SUITE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-221-7466",
            "fax_number": "770-676-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOON",
        "middle_name": "AE",
        "credential": "D.C., L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000240",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Jeong Kim
• Min Tae Kim, DDS
• Rachel Kim, RBT
• Sehee Jenny Kim, D.M.D.
• Sejong Kim, PT
• Sung-Oh Kim, DMD
• Taehyung Kim, MM, MT-BC
• Tomeka Park Kim, PHARM.D.
• Wan Kim
• William Kim, O.D.

• Chiropractor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2009; 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.