Individual
DR. CHRISTOPHER KISOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 BOULDERS PKWY, SUITE 100, NORTH CHESTERFIELD, VA 23225-4067
(804) 320-1339
(804) 330-5829
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101236255
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101236255
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010066298
—
VA
01
—
137872
ANTHEM HEALTHKEEPERS
VA
05
—
1891736484
—
VA
01
—
2138280
UNITED HEALTHCARE MAMSI
VA
01
—
242742
SOUTHERN HEALTH
VA
01
—
49648
SH CARENET
VA
01
—
540885859
COMPMANAGEMENT
VA
01
—
7010538
AETNA HMO
VA
01
—
78569
OPTIMA HEALTH
VA
01
—
902428
UNITED HEALTHCARE
VA
01
—
P00247549
RAILROAD MEDICARE
VA
Enumeration date
06/08/2006
Last updated
09/02/2020
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