Kim, Stephen S

Kim, Stephen S is an individual health care provider with primary practice located at 8260 Willow Oaks Corporate Dr Ste 400 , Fairfax VA 22031-4513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Kim, Stephen S can be contacted via phone (703) 560-2236.

Contact Information

Primary practice address
8260 Willow Oaks Corporate Dr Ste 400 Fairfax VA 22031-4513
Phone: (703) 560-2236
Fax: (571) 665-6834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101243334 Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101243334 Virginia

Profile Details

NPI number 1942390836
LBN Legal business name Kim, Stephen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 25th, 2022 - 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 1942390836 NPPES
Other 279750 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8390668 INTERNAL ID-MOTOR VEHICLE ID

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