Individual
HEEHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Mailing address
1215 LEE ST BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MT226069
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040507
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/28/2021
Last updated
06/10/2025
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