Kim, Richard Young

Kim, Richard Young is an individual health care provider with primary practice located at 19450 Deerfield Avenue, Suite 300 , Leesburg VA 20176-6821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Richard Young can be contacted via phone (703) 858-3220.

Contact Information

Primary practice address
19450 Deerfield Avenue, Suite 300 Leesburg VA 20176-6821
Phone: (703) 858-3220
Fax: (703) 858-3221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055978 Virginia

Profile Details

NPI number 1902890981
LBN Legal business name Kim, Richard Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 29th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902890981 NPPES
Virginia MEDICAID 05886988
Virginia Other P00033173
Virginia MEDICAID 1902890981

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