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Ki S Kim, NP
Family Nurse Practitioner in Vienna, Virginia
NPI 1447683073

Ki S Kim is a Family Nurse Practitioner based in Falls Church, VA and is specialized in Family. Ki S Kim practices in Vienna, VA and has the professional credentials of NP. The NPI Number for Ki S Kim is 1447683073 and holds a License No. 0024171030 (Virginia).

The current practice location address for Ki S Kim is 130 Park St Se Ste 100, Vienna, VA and can be reached out via phone at 703-281-1265 and via fax at 703-255-0571. You can also correspond with Ki S Kim through the mailing address at 2901 TELESTAR CT STE 300, FALLS CHURCH, VA - 22042-1263 (mailing address contact number: 703-591-1688).

Location: 130 Park St Se Ste 100, Vienna, VA, 22042-1263
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Provider Profile Details
NPI Number
1447683073
Provider Name
Ki S Kim
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
130 Park St Se Ste 100, Vienna, VA, 22042-1263
Phone Number
703-281-1265
Fax Number
703-255-0571
Provider Enumeration Date
08/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447683073 05 VA
institution
Provider Business Practice Location Address Details
Address
130 Park St Se Ste 100
City
State
Zip
22180-4626
Phone Number
703-281-1265
Fax Number
703-255-0571
person
Provider Business Mailing Address Details
Address
130 Park St Se Ste 100
City
State
Zip
22180-4626
Phone Number
703-281-1265
Fax Number
703-255-0571
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024171030 (Virginia)
Definition
Definition to come...
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