Individual
KIMBERLY KONGKASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4660 KENMORE AVE, ALEXANDRIA, VA 22304-1313
(703) 370-4300
Mailing address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101102794
VA
Other
Enumeration date
12/01/2006
Last updated
03/29/2013
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