Individual
DAVID KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10721 MAIN ST STE 304, FAIRFAX, VA 22030-6902
(703) 349-4205
(703) 349-4205
Mailing address
10721 MAIN ST STE 304, FAIRFAX, VA 22030-6902
(037) 349-4205
(703) 740-3615
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101234009
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266870
ANTHEM
VA
Enumeration date
07/17/2006
Last updated
11/07/2024
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