Michael D Kim MD PC

NPI #1609812510 in Fairfax, Virginia

Provider Information

NPI Number: 1609812510
Entity Type: Organization
Organization Name: Michael D Kim MD PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 20, 2006
Last Updated: Oct 26, 2009

Practice Location

Address: 10801 MAIN ST
Address 2: SUITE 700
City: Fairfax
State: Virginia
ZIP Code: 22030-4745
Phone: (703) 591-4100

Authorized Official

Name: DR. MICHAEL D KIM, MD
Title: PRESIDENT
Phone: (703) 591-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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