person
Mr. Sun Kuk Kim, PA-C
Medical Physician Assistant in Portsmouth, Virginia
NPI 1356532238

Sun Kuk Kim is a Medical Physician Assistant based in Portsmouth, VA and is specialized in Medical. Sun Kuk Kim practices in Portsmouth, VA and has the professional credentials of PA-C. The NPI Number for Sun Kuk Kim is 1356532238 and holds a License No. 1123015 (Virginia).

The current practice location address for Sun Kuk Kim is 4000 Coast Guard Blvd, Portsmouth, VA and can be reached out via phone at 757-483-8596 and via fax at 757-483-8610.

Location: 4000 Coast Guard Blvd, Portsmouth, VA, 23703-2135
person
Provider Profile Details
NPI Number
1356532238
Provider Name
Sun Kuk Kim
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4000 Coast Guard Blvd, Portsmouth, VA, 23703-2135
Phone Number
757-483-8596
Fax Number
757-483-8610
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1123015 01 NCCPA
25MP00362400 01 NJ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4000 Coast Guard Blvd
City
State
Zip
23703-2135
Phone Number
757-483-8596
Fax Number
757-483-8610
person
Provider Business Mailing Address Details
Address
4000 Coast Guard Blvd
City
State
Zip
23703-2135
Phone Number
757-483-8596
Fax Number
757-483-8610
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1123015 ()
Definition
Definition to come...
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