Organization
MISUK KIM MD OBGYN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MI SUK KIM MD (SOLE MEMBER)
(703) 658-8282
Entity
Organization
Contact information
Practice address
4304 EVERGREEN LN, STE 104, ANNANDALE, VA 22003-3216
(703) 658-8282
(703) 658-8283
Mailing address
4304 EVERGREEN LN, STE 104, ANNANDALE, VA 22003-3216
(703) 658-8282
(703) 658-8283
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101244491
VA
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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