Individual
YOUNG KI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7361 MCWHORTER PL STE 300, ANNANDALE, VA 22003-5649
(703) 750-1277
Mailing address
7361 MCWHORTER PL STE 300, ANNANDALE, VA 22003-5649
(703) 750-1277
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000963
VA
225700000X
Massage Therapist
0019007207
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
..
..
—
Enumeration date
02/24/2015
Last updated
10/12/2020
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