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Individual

ANDREW KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 THORNTON ST, SUITE 200, FREDERICKSBURG, VA 22401-4654
(540) 371-6810
(540) 371-9154
Mailing address
1300 THORNTON ST, SUITE 200, FREDERICKSBURG, VA 22401-4654
(540) 371-6810
(540) 371-9154

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101239069
VA

Other

Enumeration date
06/30/2006
Last updated
01/02/2008
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