Individual
DAE HYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14701 LEE HWY, SUITE 306, CENTREVILLE, VA 20121-2137
(703) 266-2220
Mailing address
14701 LEE HWY, SUITE 306, CENTREVILLE, VA 20121-2137
(703) 266-2220
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000779
VA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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