Jonathan Kim, OD

NPI #1073698650 in Fairfax, Virginia

Provider Information

NPI Number: 1073698650
Entity Type: Individual
Name: Jonathan Kim, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11903-I LEE JACKSON MEMORIAL HWY. #G133
City: Fairfax
State: Virginia
ZIP Code: 22033
Phone: (703) 218-8036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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