Organization
LANDMARK INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K KIM M.D. (MD)
(703) 370-0785
Entity
Organization
Contact information
Practice address
6300 STEVENSON AVE, SUITE B, ALEXANDRIA, VA 22304-3576
(703) 370-0778
(703) 212-7083
Mailing address
PO BOX 2646, FAIRFAX, VA 22031-0646
(703) 323-0589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3798
RAILROAD MEDICARE
DC
Enumeration date
07/09/2007
Last updated
01/04/2010
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