Individual provider · Type 1 NPI
Injung Kim
Adult Health Nurse Practitioner · Fairfax, VA
NPI number
1487095311
Active
Practice location
10801 Main St Ste 700
Fairfax, VA 22030-4745
Fax (703) 591-5380
Mailing address
10801 Main Street Suit 700
Fairfax, VA 22030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0024170933 (VA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1487095311
Injung Kim's National Provider Identifier is 1487095311, issued on Jul 8, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2013.