Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952304016 Individual Practitioner Male Practitioner

Dr. Tony Kyungsoo Kim , DC

Chiropractor • Charlestown, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Tony Kim, DC is a registered healthcare professional specializing in Chiropractor in Charlestown, IN. Official NPI practice address is registered at 2100 MARKET ST.

Practice Location & Contact Primary Location

Practice Address

2100 Market St
Suite 100

Charlestown, IN 471119535

Telephone 5022449859
Fax 7705739513
Associated Practice Facility / Clinic
🏢 Daniel S Kantz Psc Facility NPI 1912961012

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Charlestown, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Charlestown, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC27102

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Indiana License
08002884A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Robin Mckinley , NP

Nurse Practitioner - Family

NPI 1285971705

Nurse Practitioner

Lisa Thompson , PA

Physician Assistant

NPI 1376631903

Physician Assistant

Dr. Anas Alzuhaili , MD

Emergency Medicine

NPI 1417188491

Doctor of Medicine (M.D.)

Denise Wilburn

Nurse Practitioner - Family

NPI 1417984758
Evgenia Khemlin , NP

Nurse Practitioner

NPI 1427551605

Nurse Practitioner

Carrie Bennett , CRNP

Nurse Practitioner

NPI 1538356837

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2016

Registered at 2100 MARKET ST, SUITE 100, CHARLESTOWN, IN 471119535 (Tel: 5022449859)

📍
Updated Business Mailing Address March 28, 2016

Registered at 24318 HEMLOCK AVE, E5, MORENO VALLEY, CA 925577222 (Tel: 9514851918)

👤
Provider Name / Credentials Updated March 28, 2016

Recorded as TONY KIM, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Chiropractor (License #DC27102 in CA)

🟢
Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952304016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: March 28, 2016
Sole Proprietor: No

Mailing Address

24318 Hemlock Ave, E5

Moreno Valley, CA 925577222

Phone: 9514851918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.