Individual
JOHN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(800) 543-8814
(434) 243-9540
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101267498
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101267498
VA
Other
Enumeration date
03/27/2011
Last updated
08/10/2023
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