Tony Kyungsoo Kim is a Chiropractor based in Moreno Valley, IN. Tony Kyungsoo Kim practices in Charlestown, IN and has the professional credentials of DC. The NPI Number for Tony Kyungsoo Kim is 1952304016 and holds a License No. DC27102 (Indiana).
The current practice location address for Tony Kyungsoo Kim is 2100 Market St, Charlestown, IN and can be reached out via phone at 502-244-9859 and via fax at 770-573-9513. You can also correspond with Tony Kyungsoo Kim through the mailing address at 24318 HEMLOCK AVE, MORENO VALLEY, CA - 92557-7222 (mailing address contact number: 951-485-1918).
Provider Profile Details
NPI Number
1952304016
Provider Name
Tony Kyungsoo Kim
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2100 Market St, Charlestown, IN, 92557-7222
Phone Number
502-244-9859
Fax Number
770-573-9513
Provider Enumeration Date
05/23/2005
Last Update Date
03/28/2016
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08002884A | 01 | IN | INDIANA LICENSE |
Provider Business Practice Location Address Details
Address
2100 Market St
City
State
Zip
47111-9535
Phone Number
502-244-9859
Fax Number
770-573-9513
Provider Business Mailing Address Details
Address
24318 Hemlock Ave
City
State
Zip
92557-7222
Phone Number
951-485-1918
Fax Number
951-346-5600
Provider's Primary Taxonomy Details
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC27102 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.