Individual
KANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(301) 535-1541
Mailing address
USS GEORGE H W BUSH, CVN77, FPO, AE 09513
(301) 535-1541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
04/02/2025
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