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Contact Information

HAKNAM KIM, PH.D, L.AC.
3630 E SOUTHERN AVE STE B105
MESA, AZ85206-2561
 Phone: 480-730-4991
 Fax: 480-680-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for HAKNAM KIM · (Male)

NPI # 1588398309
Status Active
Credentials PH.D, L.AC.
Entity Individual
Enumeration date 07/16/2022
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 011380
  • CA License # 18832
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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