IndividualActive
Stephen Kim, M.D.
NPI 1942390836 · Pediatric Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1942390836
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101243334 (VA)
Practice location
8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513
Phone: (703) 560-2236
Fax: (571) 665-6834
Mailing address
Po Box 37174
Baltimore, MD 21297-3174
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.