Individual
SEUNGYEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BRANDON AVE, CHARLOTTESVILLE, VA 22908-0001
(540) 359-5408
Mailing address
145 WAYLAND MANOR DR, CULPEPER, VA 22701-1202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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