KIM GON ACUPUNCTURE CLINIC LLC (NPI# 1306988936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306988936 |
| Entity Type | Organization |
| Organization Name | KIM GON ACUPUNCTURE CLINIC LLC |
| Other Organization Name | KOREA ACUPUNCTURE AND HERBAL CLINIC |
| Practice Address |
9806 Se Carr Rd Renton WA 98055-5813 |
| Practice Telephone | 4254301336 |
| Practice Fax Number | 4254305583 |
| Mailing Telephone | 4254301336 |
| Mailing Fax Number | 4254305583 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | GON KIM (PRESIDENT) |
| Authorized Official Telephone | 4254301336 |
| Authorized Official Credential | EAMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC00002784 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Korea Acupuncture and Herbal Clinic | Doing Business As Name - Organization |
| Street Address |
9806 SE CARR RD |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700898350 | Lizabeth Vila | Psychologist | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2006-08-12 |
| 1831300730 | Jody Ann Myers | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-05-24 |
| 1598807596 | Gon Kim | Acupuncturist | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-02-13 |
| 1295882363 | William Stanley | Social Worker | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-04 |
| 1508913716 | Valley Counseling Associates | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| 1497802607 | Carol Stanley | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| 1467528364 | Timothy Tyson Weber | Psychologist | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477193860 | Viva Collaboration LLC | Acupuncturist | 10703 Se Carr Rd, Renton, WA 98055-5823 | 2020-01-14 |
| 1265839385 | David Mitts | Acupuncturist | 14410 Se Petrovitsky Rd Ste 209, Renton, WA 98058-8900 | 2014-12-04 |
| 1124294509 | Xiangyu Xu | Acupuncturist | 4444 Ne Sunset Blvd Ste 2, Renton, WA 98059-4018 | 2008-05-05 |
| 1871783852 | Joshua David Lerner | Acupuncturist | 3510 Shattuck Ave S, Renton, WA 98055-5724 | 2007-07-26 |
| 1194846626 | Zhi Sheng Ling | Acupuncturist | 1902 Dayton Ave Ne, Renton, WA 98056-4600 | 2007-04-02 |
| 1922123603 | Elaina Trager Greenberg | Acupuncturist | 304 Main Ave S Ste 201, Renton, WA 98055-2758 | 2007-03-20 |
| 1245302967 | Nancy J. Lee | Acupuncturist | 1110 Edmonds Ave Ne, Renton, WA 98056-2907 | 2006-11-15 |
| 1710523808 | Innerfire Medicine | Acupuncturist | 451 Sw 10th St Ste 100, Renton, WA 98057-2981 | 2019-11-23 |
| 1073092987 | Madrona Natural Medicine, LLC | Acupuncturist | 19201 108th Ave Se Ste 101, Renton, WA 98055 | 2018-08-10 |
| 1346731072 | Dawn Flynn, Nd, Lac | Acupuncturist | 451 Sw 10th St Ste 100, Renton, WA 98057-2981 | 2018-05-29 |
| Find all providers in RENTON | ||||
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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.