| Doctor Name: | UN CHONG KIM |
| NPI Number: | 1003076696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024169791 |
| Business Practice Address: | 850 Enterprise Pkwy Suite 2000 Hampton, VA - 236666251 |
| Business Phone Number: | 7578385055 |
| Business Fax Number: | 7578270129 |
| Mailing Address: | 856 J Clyde Morris Blvd, Suite A NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236011318 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2008 |
| NPI Last Update Date: | 01/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024169791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |