Individual
YOUNG-LAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9735 MAIN ST STE 200, FAIRFAX, VA 22031-3775
(703) 865-7370
Mailing address
9735 MAIN ST STE 200, FAIRFAX, VA 22031-3775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001135663
VA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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