Individual
DR. DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(714) 720-6065
(571) 472-0540
Mailing address
9568 KINGS CHARTER DR STE 202, ASHLAND, VA 23005-7955
(804) 266-8717
(804) 266-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267575
MA
2085R0001X
Radiation Oncology Physician
Primary
0101271548
VA
Other
Enumeration date
06/02/2016
Last updated
07/14/2021
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