Individual
DR. EDDIE HYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10340 DEMOCRACY LN STE 203, FAIRFAX, VA 22030-2518
(703) 385-4773
Mailing address
4656 AUTUMN GLORY WAY, CHANTILLY, VA 20151-2361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104557502
CHIROPRACTIC LICENSE
VA
Enumeration date
08/23/2018
Last updated
08/23/2018
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