Kim, Young Su

Kim, Young Su is an sole proprietor health care provider with primary practice located at 13890 Braddock Rd Ste 300 , Centreville VA 20121-2438. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kim, Young Su can be contacted via phone (571) 319-6468.

Contact Information

Primary practice address
13890 Braddock Rd Ste 300 Centreville VA 20121-2438
Phone: (571) 319-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1114480548
LBN Legal business name Kim, Young Su
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2019
Last updated Apr 11th, 2019 - about 7 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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