Individual
TAEHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MAPLE AVE W, 110, VIENNA, VA 22180-4308
(703) 255-5530
(703) 255-5560
Mailing address
301 MAPLE AVE W, 110, VIENNA, VA 22180-4308
(703) 255-5530
(703) 255-5560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101041301
VA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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