Provider Demographics
NPI:1154483733
Name:KIM, AILEEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:D
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2001 JEFFERSON DAVIS HWY # 800
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3603
Mailing Address - Country:US
Mailing Address - Phone:571-257-3378
Mailing Address - Fax:571-257-0906
Practice Address - Street 1:2001 JEFFERSON DAVIS HWY # 800
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3603
Practice Address - Country:US
Practice Address - Phone:571-257-3378
Practice Address - Fax:571-257-0906
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD396602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry