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Ji Sun Kim
NPI 1346782018 · on the registry since 2016
Practice
- Address
- 3823 Maher Mnr
Glen Allen, VA 23060 - Phone
- (919) 450-7550
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia