Individual
DR. RICHARD YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19450 DEERFIELD AVENUE, SUITE 300, LEESBURG, VA 20176-6821
(703) 858-3220
(703) 858-3221
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05886988
—
VA
05
—
1902890981
—
VA
01
—
P00033173
RR MEDICARE
—
Enumeration date
09/07/2005
Last updated
11/29/2022
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