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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SONG JIN SOPHIE KIM, PA

Active

SONG JIN SOPHIE KIM, PA is a Physician Assistant healthcare provider located in CENTREVILLE, Virginia. NPI 1336380203 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CENTREVILLE, VA

Registration Details

NPI Number
1336380203
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2009 (17.430392765281 yrs)
Last Updated
Feb 12, 2015
License
0110002960 (VA)

Practice Information

Address
13880 BRADDOCK RD
SUITE 301
CENTREVILLE, VA, 201212459
Browse VA providers · Browse ZIP 20121
Phone
7032222773
Fax
7032226093
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CENTREVILLE, VA

Name Credential NPI
MS. NAVNEEN CHAHAL PA-C 1104907245
CANDICE M. DRISCOLL P.A.-C 1538308978
ASMA JAMIL PA-C 1306201736
MS. KAYLA MARIE HUBER PA-C 1700343951
MRS. LAURA NOELIA ARELLANO 1548152234
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.