Organization · Type 2 NPI

Jae Kim, MD PLC

Facial Plastic Surgery Physician · Fairfax, VA

NPI number 1306308382 Active

Practice location

10721 Main St Ste 205
Fairfax, VA 22030-6902

Fax (703) 935-0330

Mailing address

2200 Wilson Blvd Ste 102-219
Arlington, VA 22201-3397

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

4 other providers at this address

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About NPI 1306308382

Jae Kim, MD PLC's National Provider Identifier is 1306308382, issued on Apr 1, 2019. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Fairfax, VA. The record was last updated on Jun 11, 2019.