Individual
YONG JI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8026 TREVOR PL, VIENNA, VA 22182-4019
(703) 268-9248
Mailing address
8026 TREVOR PL, 8026 TREVOR PLACE, VIENNA, VA 22182-4019
(703) 268-9248
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024197150
VA
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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