Goeun Kim, L.A.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000208 Issued in PA

Practice address

930 Susquehanna Rd
Ambler, PA 19002-3760

Phone

(347) 603-6830

NPI assigned

Feb 22, 2016

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)

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 and National Provider Directory roles.

• Grace Acupuncture LLC

  • Acupuncturist
  • Ambler, PA
  • NPI 1336826783
  NPD Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1790144517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "347-603-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "347-603-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "GOEUN",
        "credential": "L.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kerrigan, RDMS
• Stephanie Keyte, MS, RDN, IFNCP, CLT
• Khloe Beth Hui & Associates LLC
• Ashley Kim
• Cheryl Kim
• Yoon Kyung Kim
• Gabrielle Klaus
• Stephanie Klein
• Stephen Louis Klincewicz, D.O.
• Kassie Knight

• Acupuncturist in Ambler, PA
• Providers in Ambler, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.