Individual
MISUK AGNES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4308 EVERGREEN LN, STE F, ANNANDALE, VA 22003-3276
(703) 658-8282
(703) 658-8283
Mailing address
4304 EVERGREEN LN STE 101, 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
10/07/2008
Last updated
05/05/2020
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