Organization
PETER D KIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER D KIM M.D. (PHYSICIAN)
(703) 642-2288
Entity
Organization
Contact information
Practice address
4208 EVERGREEN LN, SUITE 222, ANNANDALE, VA 22003-3235
(703) 642-2288
(703) 642-1224
Mailing address
4208 EVERGREEN LN, SUITE 222, ANNANDALE, VA 22003-3235
(703) 642-2288
(703) 642-1224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
01/16/2014
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