Individual
JOSHUA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6208 MULTIPLEX DR STE 150, CENTREVILLE, VA 20121-5324
(571) 833-7911
(571) 833-7912
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102208669
VA
207R00000X
Internal Medicine Physician
515151014352
MI
208000000X
Pediatrics Physician
0102208669
VA
208000000X
Pediatrics Physician
51207R00000X
MI
Other
Enumeration date
04/02/2020
Last updated
12/03/2024
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