| Kenneth J Kim Pediatrics | |
|
3930 Pender Dr Suite 330 Fairfax VA 22030-0985 | |
| (703) 246-0022 | |
| (703) 246-0080 |
| Full Name | Kenneth J Kim Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3930 Pender Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Kenneth J. Kim (PRESIDENT) |
| Authorized Official Contact | 7032460022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Kim Pediatrics 3930 Pender Dr Suite 330 Fairfax VA 22030-0985 Ph: (703) 246-0022 | Kenneth J Kim Pediatrics 3930 Pender Dr Suite 330 Fairfax VA 22030-0985 Ph: (703) 246-0022 |
| NPI Number | 1710381660 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710381660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101245549 (Virginia) | Primary |
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