Elliott Jiwoo Kim
Orthopaedic Spine Surgeon
1635 N George Mason Dr Ste 310
Arlington
, Virginia 22205-3616
Elliott Jiwoo Kim
Orthopaedic Spine Surgeon
1635 N George Mason Dr Ste 310
Arlington
, Virginia 22205-3616
(804) 327-9812
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Elliott Jiwoo Kim
- Po Box 75868
- Baltimore, MD
- Zip : 21275-3616
- Fax : (804) 327-9812
- Phone : (804) 327-9242
Second Address
- Elliott Jiwoo Kim
- 1635 N George Mason Dr Ste 310
- Arlington, VA
- Zip : 22205-3616
- Fax : (703) 810-5428
- Phone : (703) 810-5215
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 80032 | GA |
National Provider Identifier
| NPI | 1134562051 |
|---|---|
| Provider Name | Elliott Jiwoo Kim |
| First Address | Baltimore, MD 21275-3616 |
| Second Address | Arlington, VA 22205-3616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2013 |
| Last Update Date | 26/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.