Jackye Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556626 Issued in VA

Practice address

15521 Midlothian Tpke Ste 402
Midlothian, VA 23113-7313

Phone

(804) 399-0002

NPI assigned

Oct 31, 2008

Last updated

Dec 12, 2019By the provider in NPPES

Sex

Female

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

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.

• Integrative Health LLC

  dba Integrative Health Chiropractic Acupuncture Nutrition

  • General Practice Physician
  • Midlothian, VA
  • NPI 1811140056
  Authorized official Same address or phone

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1730332966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANCOCK VILLAGE DR # 118",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322771",
            "telephone_number": "804-399-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 402",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-399-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JACKYE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakil A Khan, M.D.
• Joelle Marie Kidder, PA-C
• Kidmed Southside PLC
• Dennis Keith Kilgore, PH.D., L.C.S.W.
• Julie Anne Kilpatrick, MD
• Joseph S Kim, M.D.
• Juhan John Kim, DDS
• Jung Mi Kim, NP
• Sungjun Kim
• Suzanne Kim, PHARM D

• Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.