Kim, Michael Donhyun

Kim, Michael Donhyun is an individual health care provider with primary practice located at 10801 Main St Suite 700, Fairfax VA 22030-4727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Michael Donhyun can be contacted via phone (703) 591-4100.

Contact Information

Primary practice address
10801 Main St Suite 700 Fairfax VA 22030-4727
Phone: (703) 591-4100
Fax: (703) 591-5380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101233609 Virginia

Profile Details

NPI number 1144291097
LBN Legal business name Kim, Michael Donhyun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 16th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144291097 NPPES
Virginia MEDICAID 010002834

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