PETER D KIM MD PC NPI 1134309685

NPI Information

  • NPI: 1134309685
  • Provider Name: PETER D KIM MD PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4208 EVERGREEN LN
    SUITE 222
    ANNANDALE, VA
    ZIP 22003
  • Phone: (703) 642-2288

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NPI Details

PETER D KIM MD PC is a family medicine in Annandale, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER D KIM MD PC NPI is 1134309685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4208 EVERGREEN LN
SUITE 222
ANNANDALE, VA
ZIP 22003-235
Phone: (703) 642-2288
Fax: (703) 642-1224

The provider's authorized official is Peter D Kim .
The authorized official title is Physician and has the following contact phone number (703) 642-2288.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 1/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G02179MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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