Individual
JUNG MI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1230 ALVERSER DR STE 100, MIDLOTHIAN, VA 23113-2653
(804) 893-7800
Mailing address
3924 LIESFELD PL, GLEN ALLEN, VA 23060-6018
(804) 426-7380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138693
—
CT
Enumeration date
01/28/2019
Last updated
06/09/2025
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