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NPI Code Detail

MEDICARE: SOPHIA KIM

MEDICARE:   SOPHIA  KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistU03262MD

General Provider Information

NPI Number : 1528937398
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA KIM
Provider Business Mailing Address
First Line : 3530 LARGO LN
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-1421
Country : US
Telephone Number : 571-999-3260
Fax Number :
Provider Business Practice Location Address
First Line : 3530 LARGO LN
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-1421
Country : US
Telephone Number : 571-999-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2025
Last Update Date : 10/31/2025

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Directions to “ SOPHIA KIM ” Practice Location

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