Kang, Kibbum

Kang, Kibbum is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 201 , Manassas VA 20110-4404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kang, Kibbum can be contacted via phone (703) 368-6819.

Contact Information

Primary practice address
8640 Sudley Rd Ste 201 Manassas VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174551 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024174551 Virginia

Profile Details

NPI number 1548502347
LBN Legal business name Kang, Kibbum
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Feb 13th, 2026 - about 8 months 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 1548502347 NPPES
Virginia MEDICAID 1548502347

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