Individual
DR. JINCHUL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18768 RIDGEBACK CT, LANSDOWNE, VA 20176-8250
(571) 333-5898
Mailing address
18768 RIDGEBACK CT, LANSDOWNE, VA 20176-8250
(571) 333-5898
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
44656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21-21-266
—
MI
Enumeration date
11/13/2006
Last updated
07/08/2007
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