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Individual

DR. HIE C KIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8925 BURKE LAKE RD, SPRINGFIELD, VA 22151-1115
(703) 978-9595
(703) 978-2164
Mailing address
8925 BURKE LAKE RD, SPRINGFIELD, VA 22151-1115
(703) 978-9595
(703) 978-2164

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101023599
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001961 AND 454203
ANTHEM BCBS OF VA
VA
01
0787066
AETNA HMO
VA
01
2020511-S
CIGNA
VA
01
22463
UNICARE
VA
01
250000292 C08088
MEDICARE VA
VA
01
27140
ALLIANCE PPO
VA
01
4054650
AETNA US HEALTHCARE PPO
VA
01
4371 0001
CAREFIRST BCBS
VA
01
6861954
MEDICAID VA HMO
VA
05
6861954
VA
01
D-43711253
CHAMPUS TRICARE
VA
Enumeration date
05/27/2005
Last updated
07/08/2007
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