NPI 1164828208

Dong Guk Kim, DC

Practitioner Chiropractor Ellicott City, MD

Practice location

Address: 9275 Baltimore National Pike STE 104, Ellicott City, MD 21042-3943
Phone: (410) 480-0083
Fax: (410) 480-0082

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence S03894 (MD)

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Registry record

NPI: 1164828208
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2014
Record last updated: 11 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.