Most Relevant Information
Provider Data
| NPI Number: | 1003076696 |
| Provider Name: | UN CHONG KIM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024169791 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 01/20/2014 |
Provider Practice Location
850 ENTERPRISE PKWY
SUITE 2000
HAMPTON
VA
236666251
Practice Location Phone/Fax
| Phone: | 7578385055 |
| Fax: | 7578270129 |
Provider Mailing Location
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS
VA
236011318
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |