TRI KIM LLC (NPI# 1285155085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285155085 |
| Entity Type | Organization |
| Organization Name | TRI KIM LLC |
| Other Organization Name | SPINE CONNECTION WELLNESS CENTER |
| Practice Address |
11820 W Market Pl Ste K Fulton MD 20759-2421 |
| Mailing Address |
7445 Saint Margarets Blvd Hanover MD 21076-2135 |
| Practice Telephone | 2408327993 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | JOHN YONGMIN KIM (OWNER) |
| Authorized Official Telephone | 3013623609 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03904 | MD | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Spine Connection Wellness Center | Doing Business As Name - Organization |
| Street Address |
11820 W MARKET PL STE K |
| City | FULTON |
| State | MD |
| Zip Code | 20759-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163269 | John Yongmin Kim | Chiropractor | 11820 W Market Pl Ste K, Fulton, MD 20759-2421 | 2017-09-12 |
| 1801315791 | Sae June Kim | Chiropractor | 11820 W Market Pl Ste K, Fulton, MD 20759-2421 | 2017-09-12 |
| 1326567215 | Minho Kim | Chiropractor | 11820 W Market Pl Ste K, Fulton, MD 20759-2421 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1578986105 | Total Investment & Marketing, Inc | Assisted Living Facility | 12026 Scaggsville Road, Fulton, MD 20759 | 2014-02-03 |
| 1235489030 | First Sight Vision Care LLC | Clinic/Center | 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 | 2012-09-19 |
| 1669730941 | Urenna Acholonu | Obstetrics & Gynecology | 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759 | 2012-04-24 |
| 1528228418 | Jill Stern May | Physical Therapist | 11830 W Market Pl Ste D, Fulton, MD 20759 | 2008-06-13 |
| 1750580346 | Standard Medical Home Healthcare, LLC | Home Health | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759 | 2007-07-13 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1659488294 | Tara Guretzky | Ophthalmology | 7625 Maple Lawn Blvd Ste 200, Fulton, MD 20759 | 2006-08-23 |
| 1417327487 | Judith Greengold | Nurse Practitioner | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2015-10-02 |
| Find all providers in zip 20759 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851878219 | Ams Holdings, LLC | Chiropractor | 1106 4th Street, Fulton, IL 61252-1718 | 2018-07-27 |
| 1275966715 | Bradley Chiropractic, Pllc | Chiropractor | 432 Lake St, Fulton, KY 42041-1531 | 2013-08-20 |
| 1538505755 | Mallory K Bradley | Chiropractor | 432 Lake St., Fulton, KY 42041 | 2013-05-14 |
| 1740597616 | David L Stuber | Chiropractor | 362 Park Ave, Fulton, NY 13069-2420 | 2010-09-13 |
| 1871731588 | Amy K Green | Chiropractor | 308 Meadowlark Ln, Fulton, MO 65251-2458 | 2009-02-03 |
| 1194985267 | Koelling Family Chiropractic, PC | Chiropractor | 621 Commons Drive, Fulton, MO 65251-2650 | 2008-06-12 |
| 1821286394 | Tom M Kao | Chiropractor | 1104 4th St, Fulton, IL 61252-1718 | 2007-10-10 |
| 1316086804 | Community Chiropractic, P.C. | Chiropractor | 16 Canalview Mall, Fulton, NY 13069-1733 | 2007-02-05 |
| 1356488241 | Edvard Lc Gerega | Chiropractor | 1013 4th Street, Fulton, IL 61252-1715 | 2007-01-31 |
| 1528117785 | Brian Hoselton | Chiropractor | 710 S Business 54, Fulton, MO 65251-1403 | 2007-01-09 |
| Find all providers in FULTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.