Provider Demographics
NPI:1427245984
Name:KIM, DO YOUNG (DC)
Entity type:Individual
Prefix:DR
First Name:DO YOUNG
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 OLD PEACHTREE RD NW
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2028
Mailing Address - Country:US
Mailing Address - Phone:770-882-6666
Mailing Address - Fax:770-252-6800
Practice Address - Street 1:1299 OLD PEACHTREE RD NW
Practice Address - Street 2:SUITE # 101
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2028
Practice Address - Country:US
Practice Address - Phone:770-882-6666
Practice Address - Fax:770-252-6800
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR008162111N00000X, 111NN1001X, 111NX0800X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NR0400XChiropractic ProvidersChiropractorRehabilitation