Individual
HAEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3022 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4600
(703) 573-9800
(703) 738-5720
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024180527
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024180527
VA
Other
Enumeration date
09/16/2021
Last updated
04/23/2026
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