Individual
STEPHEN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031-4513
(703) 560-2236
(571) 665-6834
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101243334
VA
2086S0120X
Pediatric Surgery Physician
Primary
0101243334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279750
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8390668
—
WA
Enumeration date
10/13/2006
Last updated
05/25/2022
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