Provider Demographics
NPI:1255626495
Name:KIM, DONG MIN (DPM)
Entity type:Individual
Prefix:DR
First Name:DONG
Middle Name:MIN
Last Name:KIM
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:5249 DUKE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2926
Mailing Address - Country:US
Mailing Address - Phone:703-370-2313
Mailing Address - Fax:703-370-2490
Practice Address - Street 1:5249 DUKE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2926
Practice Address - Country:US
Practice Address - Phone:703-370-2313
Practice Address - Fax:703-370-2490
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2025-01-13
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Provider Licenses
StateLicense IDTaxonomies
VA0116023912213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery