Individual
INJUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 MAIN ST STE 700, FAIRFAX, VA 22030-4745
(703) 591-4100
(703) 591-5380
Mailing address
10801 MAIN STREET SUIT 700, FAIRFAX, VA 22030
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170933
VA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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