Individual
JUNG MI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24795 PINEBROOK RD, CHANTILLY, VA 20152-4239
(866) 389-2727
Mailing address
11645 LEEHIGH DR, FAIRFAX, VA 22030-5641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176496
VA
Other
Enumeration date
11/30/2018
Last updated
12/05/2018
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