Kim, Elisabeth Keunrok
Kim, Elisabeth Keunrok is an individual health care provider with primary practice located at 4160 Merchant Plz , Woodbridge VA 22192-5085. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Elisabeth Keunrok can be contacted via phone (703) 878-8818.Contact Information
Primary practice address
4160 Merchant Plz
Woodbridge VA 22192-5085
Phone: (703) 878-8818
Fax: (703) 878-8819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001424 | Virginia |
Profile Details
| NPI number | 1154469070 |
|---|---|
| LBN Legal business name | Kim, Elisabeth Keunrok |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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