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Individual

DR. JAE Y KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 WILSON BLVD STE 102-219, ARLINGTON, VA 22201-3397
(347) 551-1113
Mailing address
2200 WILSON BLVD STE 102-219, ARLINGTON, VA 22201-3397

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101259733
VA
207YS0123X
Facial Plastic Surgery Physician
Primary
0101259733
VA

Other

Enumeration date
05/12/2011
Last updated
09/03/2024
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