Dr Kihun Cho, | |
3930 Walnut St Ste 220, Fairfax, VA 22030-4738 | |
(703) 397-3684 | |
Not Available |
Full Name | Dr Kihun Cho |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 3930 Walnut St Ste 220, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801301585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S03957 (Maryland) | Secondary |
111N00000X | Chiropractor | 0104557541 (Virginia) | Primary |
Provider Name | Dkb Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639838741 PECOS PAC ID: 2860886561 Enrollment ID: O20220223000544 |
Mailing Address | Practice Location Address |
---|---|
Dr Kihun Cho, 3930 Walnut St Ste 220, Fairfax, VA 22030-4738 Ph: (757) 384-5757 | Dr Kihun Cho, 3930 Walnut St Ste 220, Fairfax, VA 22030-4738 Ph: (703) 397-3684 |
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