Individual
DR. KIM-CHI PHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1975 GLENN MITCHELL DR 104, VIRGINIA BEACH, VA 23456-0167
(757) 368-3937
(757) 516-7032
Mailing address
1975 GLENN MITCHELL DR 104, VIRGINIA BEACH, VA 23456-0167
(757) 368-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001544
VA
152W00000X
Optometrist
OPC3939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620769300
—
FL
Enumeration date
03/24/2006
Last updated
10/06/2015
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