Individual
MICHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 306, FAIRFAX, VA 22033-1764
(703) 391-4520
(703) 391-4521
Mailing address
3580 JOSEPH SIEWICK DR STE 306, FAIRFAX, VA 22033-1764
(703) 391-4520
(703) 391-4521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101258997
VA
207R00000X
Internal Medicine Physician
101258997
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2012
Last updated
11/27/2023
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