Individual
DR. KENNETH JAE YOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3930 PENDER DR, SUITE 330, FAIRFAX, VA 22030-0985
(703) 246-0022
(703) 246-0080
Mailing address
3930 PENDER DR, SUITE 330, FAIRFAX, VA 22030-0985
(703) 246-0022
(703) 246-0080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101245549
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124221924
—
VA
Enumeration date
06/08/2007
Last updated
11/11/2014
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