Kim, Clark Wong

Kim, Clark Wong is an individual health care provider with primary practice located at 1112 W Arizona Ave # E, Parker AZ 85344-5766. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Acupuncturist. Dietary & Nutritional Service Providers / Nutritionist is his primary health care specialty. Kim, Clark Wong can be contacted via phone (928) 669-8764.

Contact Information

Primary practice address
1112 W Arizona Ave # E Parker AZ 85344-5766
Phone: (928) 669-8764
Fax: (909) 790-9353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 804-363 Arizona
Other Service Providers / Acupuncturist 171100000X N-609 Arizona
Other Service Providers / Acupuncturist 171100000X BL-00003-04 Colorado

Profile Details

NPI number 1548327935
LBN Legal business name Kim, Clark Wong
Credentials HYNOTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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