Organization
KENNETH J KIM, M.D., P.C.
Active
Other names
Kenneth J Kim Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J. KIM M.D. (PRESIDENT)
(703) 246-0022
Entity
Organization
Contact information
Practice address
3930 PENDER DR, SUITE 330, FAIRFAX, VA 22030-0985
(703) 246-0022
(703) 246-0080
Mailing address
3930 PENDER DR, SUITE 330, FAIRFAX, VA 22030-0985
(703) 246-0022
(703) 246-0080
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101245549
VA
Other
Enumeration date
10/21/2014
Last updated
11/11/2014
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