Provider Demographics
NPI:1255942132
Name:KIM, JOHN MINSUNG (DACM, LAC, DIPLAC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MINSUNG
Last Name:KIM
Suffix:
Gender:M
Credentials:DACM, LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 PEACHTREE INDUSTRIAL BLVD STE AA
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8635
Mailing Address - Country:US
Mailing Address - Phone:470-540-5102
Mailing Address - Fax:
Practice Address - Street 1:2830 PEACHTREE INDUSTRIAL BLVD STE AA
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8635
Practice Address - Country:US
Practice Address - Phone:470-540-5102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006443171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist