Individual
KENNETH LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 300, FAIRFAX, VA 22033-1739
(703) 680-2111
Mailing address
3700 JOSEPH SIEWICK DR STE 300, FAIRFAX, VA 22033-1739
(703) 680-2111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101282272
VA
Other
Enumeration date
03/21/2019
Last updated
10/24/2024
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