Dr. Kenneth Jae Yoon Kim
MD | Pediatrics | Male
Dr. Kenneth Jae Yoon Kim, MD is a Fairfax, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kenneth Jae Yoon Kim is
3930 Pender Dr, Suite 330, Fairfax, Virginia - 22030-0985. He can be contacted on phone at
703-246-0022 and fax number 703-246-0080.
Dr. Kenneth Jae Yoon Kim is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth Jae Yoon Kim is
1124221924 which was assigned by NPPES on 08 Jun, 2007 and it was last updated on 11 Nov, 2014.
Dr. Kenneth Jae Yoon Kim license number is
0101245549 for Pediatrics (208000000X) in Virginia.
Dr. Kenneth Jae Yoon Kim is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kenneth Jae Yoon Kim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kenneth Jae Yoon Kim |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Kenneth Jae Yoon Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3930 Pender Dr, Suite 330
Fairfax, VA, 22030-0985
United States |
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| Phone Number : | 703-246-0022 |
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| Fax Number : | 703-246-0080 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124221924 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2007 |
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| Last Updated On : | 11 Nov, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Jae Yoon Kim are as mentioned. Primary taxonomy code for Dr. Kenneth Jae Yoon Kim, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101245549 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenneth Jae Yoon Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1124221924 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3930 Pender Dr, Suite 330
Fairfax, VA, 22030-0985
United States |
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| Phone Number : | 703-246-0022 |
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| Fax Number : | 703-246-0080 |
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Business Location:
Patients can refer following map for directions to
Dr. Kenneth Jae Yoon Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.