Individual
SUNG YONG KIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3409 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 399-0705
(757) 399-3978
Mailing address
3409 SOUTH ST, PORTSMOUTH, VA 23707-3219
(757) 399-0705
(757) 399-3978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101022964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6745075
—
VA
Enumeration date
03/08/2006
Last updated
07/08/2007
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