Individual
MR. MO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(804) 337-8809
Mailing address
12517 HILLGATE LN, RICHMOND, VA 23233-2420
(804) 337-8809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000054004
RI
Other
Enumeration date
08/07/2023
Last updated
03/21/2024
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