Kim, Bong K.

Kim, Bong K. is an individual health care provider with primary practice located at 6736 Curran Street, Suite 2 , Mclean VA 22101-3803. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Kim, Bong K. can be contacted via phone (703) 372-0787.

Contact Information

Primary practice address
6736 Curran Street, Suite 2 Mclean VA 22101-3803
Phone: (703) 372-0787
Fax: (703) 712-7169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 0101241675 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD054359L Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101241675 Virginia
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 0101241675 Virginia

Profile Details

NPI number 1437118312
LBN Legal business name Kim, Bong K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437118312 NPPES
Virginia MEDICAID 30016725500001
Virginia MEDICAID 1437118312

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