Individual
DR. ELISABETH KEUNROK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4565 DAISY REID AVE STE 108, WOODBRIDGE, VA 22192-5671
(703) 878-8818
(703) 878-8819
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001424
VA
Other
Enumeration date
02/02/2007
Last updated
08/27/2025
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