Individual
DR. KEVIN HYUNGSUP KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, LAC
Contact information
Practice address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9897
(703) 277-9535
Mailing address
10195 MAIN ST STE F, FAIRFAX, VA 22031-3415
(703) 277-9897
(703) 277-9535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556491
VA
111N00000X
Chiropractor
DC30297
CA
171100000X
Acupuncturist
0121000759
VA
Other
Enumeration date
09/25/2008
Last updated
05/27/2015
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