Individual
THOMAS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 60446, CHARLOTTE, NC 28260-0446
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233556
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238412
—
VA
05
—
010240701
—
VA
01
—
188196
BCBS
VA
01
—
195692
BCBS
VA
01
—
P00290966
RAILROAD MEDICARE
VA
Enumeration date
03/23/2006
Last updated
03/17/2009
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