Individual
PRISCILLA STEPHANIE O KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6020
Mailing address
22994 LAVALLETTE SQ, BRAMBLETON, VA 20148-4920
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024188303
VA
Other
Enumeration date
07/17/2023
Last updated
09/28/2023
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