Individual
BONG K. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6736 CURRAN STREET, SUITE 2, MCLEAN, VA 22101-3803
(703) 372-0787
(703) 712-7169
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
0101241675
VA
207ZH0000X
Hematology (Pathology) Physician
0101241675
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101241675
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD054359L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437118312
—
VA
05
—
30016725500001
—
VA
Enumeration date
03/21/2006
Last updated
12/13/2023
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