Individual
DR. JUNG JA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1229 MEYER CT, MC LEAN, VA 22101-2319
(703) 356-1885
Mailing address
1229 MEYER CT, MC LEAN, VA 22101-2319
(703) 356-1885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101025552
VA
207Q00000X
Family Medicine Physician
0101025552
VA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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