Individual
KENNETH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(571) 369-7642
Mailing address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14172
MD
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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