Individual
DR. KENNETH SU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47100 COMMUNITY PLZ, SUITE 100, STERLING, VA 20164-1826
(703) 880-1403
(703) 880-1404
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234789
VA
Other
Enumeration date
09/21/2007
Last updated
01/09/2013
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