Kim, Elisabeth Keunrok

Kim, Elisabeth Keunrok is an individual health care provider with primary practice located at 4160 Merchant Plz , Woodbridge VA 22192-5085. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Elisabeth Keunrok can be contacted via phone (703) 878-8818.

Contact Information

Primary practice address
4160 Merchant Plz Woodbridge VA 22192-5085
Phone: (703) 878-8818
Fax: (703) 878-8819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001424 Virginia

Profile Details

NPI number 1154469070
LBN Legal business name Kim, Elisabeth Keunrok
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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