Provider Demographics
NPI:1336246255
Name:KIM, HUISOON (LAC,PHD,DA)
Entity type:Individual
Prefix:MRS
First Name:HUISOON
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:LAC,PHD,DA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 118
Mailing Address - Street 2:
Mailing Address - City:WOODY
Mailing Address - State:CA
Mailing Address - Zip Code:93287-0118
Mailing Address - Country:US
Mailing Address - Phone:213-800-1188
Mailing Address - Fax:661-742-1603
Practice Address - Street 1:2611 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1815
Practice Address - Country:US
Practice Address - Phone:661-742-1600
Practice Address - Fax:661-742-1603
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9661171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist