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Dr. Kenneth Yong Kim , DC

Chiropractor β€’ Springfield, VA

Active NPI 1447630322 Individual Practitioner Male Practitioner
Practice location in NPPES

6225 Brandon Ave Ste 175
Springfield, VA 221502519

Call 2535334140 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6225 Brandon Ave Ste 175

Springfield, VA 221502519

Telephone 2535334140
Organization at the Same NPPES Address or Phone
Salt & Light Chiropractic, Inc. Facility NPI 1124678339

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Virginia

18 active clinicians are listed under Chiropractor with a practice address in Springfield, VA (1,566 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 18 clinicians have the CMS telehealth indicator.

33.3% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-11
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES VA 0104557520

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location August 11, 2025

Registered at 6225 BRANDON AVE STE 175, SPRINGFIELD, VA 221502519 (Tel: 2535334140)

πŸ‘€
Provider Name / Credentials Updated August 11, 2025

Recorded as KENNETH KIM, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Chiropractor (license number reported to NPPES: VA 0104557520)

πŸ“
Updated Business Mailing Address April 30, 2021

Registered at 6225 BRANDON AVE, STE 175, SPRINGFIELD, VA 221502519 (Tel: (253) 533-4140)

βœ…
NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 02, 2017

Registered at 3321 TOLEDO TER STE 204, HYATTSVILLE, MD 207828154 (Tel: 2535334140)

πŸ“
Updated Business Mailing Address June 02, 2017

Registered at 3321 TOLEDO TER STE 204, HYATTSVILLE, MD 207828154 (Tel: (253) 533-4140)

πŸ‘€
Provider Name / Credentials Updated June 02, 2017

Recorded as YONG GU KIM, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Chiropractor (license number reported to NPPES: PA DC011020)

βœ…
NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 04, 2015

Registered at 8460 LIMEKILN PIKE, #222, WYNCOTE, PA 190952601 (Tel: 5636397230)

πŸ“
Business Mailing Address (Initial Record) June 04, 2015

Registered at 8460 LIMEKILN PIKE, #222, WYNCOTE, PA 190952601 (Tel: 5636397230)

πŸ‘€
Provider Name / Credentials (Initial Record) June 04, 2015

Recorded as YONG GU KIM, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Chiropractor (license number reported to NPPES: PA DC011020)

🟒
Initial NPI Registration & Enumeration June 04, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447630322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2015
Last Update: August 11, 2025
Sole Proprietor: No

Other Chiropractors in Springfield

All Chiropractors in Springfield

Mailing Address

6225 Brandon Ave, Ste 175

Springfield, VA 221502519

Phone: 2535334140

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.