Individual provider Active NPI

Meu Keon Kim, LAC

  • Acupuncturist
  • Doraville, GA
National Provider Identifier
1942634357
Registry record updated Apr 7, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Aug 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
284 Issued in GA
Practice address
5269 Buford Hwy NE
Suite 15
Doraville, GA 30340-1154
Phone
(770) 455-6511
NPI assigned
Aug 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 284 GA Primary

Addresses

Primary practice location

5269 Buford Hwy NE
Suite 15
Doraville, GA 30340-1154

Mailing address

5269 Buford Hwy NE
Suite 15
Doraville, GA 30340-1154
Phone (678) 467-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
284GAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1942634357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 BUFORD HWY NE",
            "address_2": "SUITE 15",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401154",
            "telephone_number": "678-467-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 BUFORD HWY NE",
            "address_2": "SUITE 15",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401154",
            "telephone_number": "770-455-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MEU KEON",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

Verify at the official NPI Registry.