Individual
MR. JUSTIN SUNGMIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 776-3020
(703) 664-7531
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1049263
DC
363L00000X
Nurse Practitioner
0024186021
VA
363LA2100X
Acute Care Nurse Practitioner
RN1049263
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186021
VA
Other
Enumeration date
09/24/2018
Last updated
04/13/2026
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