Individual
DR. CHANG H. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.M, L.AC.
Contact information
Practice address
9401 MATHY DR STE 100, FAIRFAX, VA 22031
(571) 224-7975
Mailing address
9401 MATHY DR STE 100, FAIRFAX, VA 22031-5312
(571) 224-7975
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000381
VA
Other
Enumeration date
08/13/2010
Last updated
07/09/2018
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