NPI 1114480548
Young Su Kim
Practice location
- Address
- 13890 Braddock Rd STE 300, Centreville, VA 20121-2438
- Phone
- (571) 319-6468
- Mailing address
- 6515 Skylemar Trl, Centreville, VA 20121-3842
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1114480548
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Apr 2019
- Record last updated
- 11 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.