Individual
DR. SUK KEW KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 UTTERBACK STORE RD, GREAT FALLS, VA 22066-1508
(703) 450-1507
(703) 450-1507
Mailing address
731 UTTERBACK STORE RD, GREAT FALLS, VA 22066-1508
(703) 450-1507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101027043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101027043
STATE LICENSE
VA
Enumeration date
02/22/2007
Last updated
07/08/2007
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