Mr John Tae-kwon Kim, MS, LAC is a
Acupuncturist based in Trophy Club, Texas. Mr John Tae-kwon Kim is licensed to practice in Texas (license number AC01261) and his current practice location is
501 Trophy Lake Dr, Suite 322, Trophy Club, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 643-9940.
NPI number for Mr John Tae-kwon Kim is 1376837559 and his current mailing address is 4600 N Josey Ln, # 717, Carrollton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376837559.
Healthcare Provider's Profile
| Full Name | Mr John Tae-kwon Kim |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 501 Trophy Lake Dr, Trophy Club, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376837559
- Provider Enumeration Date: 06/05/2011
- Last Update Date: 06/05/2011
Medical Identifiers
Medical identifiers for Mr John Tae-kwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376837559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC01261 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Tae-kwon Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Tae-kwon Kim, MS, LAC
4600 N Josey Ln, # 717,
Carrollton, TX 75010-4616
Ph: (615) 415-1876 | Mr John Tae-kwon Kim, MS, LAC
501 Trophy Lake Dr, Suite 322,
Trophy Club, TX 76262-5222
Ph: (214) 643-9940 |
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