Andrew Kyu Hwan Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013966 Issued in IL

Practice address

905 Remington Rd
Mattoon, IL 61938-4210

Phone

(217) 234-3423

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1699471151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 WOLF BROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501185",
            "telephone_number": "404-323-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 REMINGTON RD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384210",
            "telephone_number": "217-234-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "middle_name": "KYU HWAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip B. Kepp, DDS
• Olivia Keske
• Kevin Elliott Counseling, PC
• Nafees Khan, MD
• Alexandra Kiest, BS
• Andy Tuki Kim, M.D.
• Eun Ee Kim, DO
• Charles Francis Kind Jr., DPM
• Lauren Alexandra Kind, DPM
• Brett Kinder

• Chiropractor in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Chiropractor in Illinois

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