Individual
KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
241 CORPORATE BLVD, NORFOLK, VA 23502-4975
(757) 622-2200
Mailing address
4505 MAIN ST STE 258, VIRGINIA BEACH, VA 23462-3388
(832) 863-8720
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003045
VA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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