Kyoung Hwan Kim, L. AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01518 Issued in MD

Practice address

7901 Greentree Rd
Bethesda, MD 20817-1301

Phone

(410) 294-9499

Fax

(410) 497-1113

NPI assigned

Sep 10, 2012

Last updated

Apr 22, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Bon Wellness Kim PC

  • Acupuncturist
  • Bethesda, MD
  • NPI 1700408044
  NPD Authorized official

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1700135480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 GREENTREE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171301",
            "telephone_number": "410-294-9499",
            "fax_number": "410-497-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 GREENTREE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171301",
            "telephone_number": "410-294-9499",
            "fax_number": "410-497-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4306 Evergreen Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033217",
            "country_code": "US",
            "telephone_number": "703-303-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYOUNG",
        "middle_name": "HWAN",
        "credential": "L. AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000521",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ick Ho Kim, NP-C
• Jae Hoon Kim, CRNP-PMH
• Janet Kim, L.AC
• Jinmin Kim
• Katherine Kim, PHARMD
• Manuel Kim, P.T.
• Mijung Kim
• Min Kim, PHARMD
• Min Jeong Kim, MD
• Myungjin Gloria Kim, M.D.

• Acupuncturist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.