Dr Kenneth Jae Yoon Kim, MD - Pediatrics in Fairfax, VA

Dr Kenneth Jae Yoon Kim, MD is a Pediatrics physician based in Fairfax, Virginia. Dr Kenneth Jae Yoon Kim is licensed to practice in Virginia (license number 0101245549) and his current practice location is 3930 Pender Dr, Suite 330, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 246-0022.

NPI number for Dr Kenneth Jae Yoon Kim is 1124221924 and his current mailing address is 3930 Pender Dr, Suite 330, Fairfax, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124221924.

Contact Information

Dr Kenneth Jae Yoon Kim, MD
3930 Pender Dr, Suite 330,
Fairfax, VA 22030-0985
(703) 246-0022
(703) 246-0080



Physician's Profile

Full NameDr Kenneth Jae Yoon Kim
GenderMale
SpecialityPediatrics
Location3930 Pender Dr, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124221924
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 11/11/2014

Medical Identifiers

Medical identifiers for Dr Kenneth Jae Yoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124221924NPI-NPPES
1124221924MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101245549 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Jae Yoon Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Jae Yoon Kim, MD
3930 Pender Dr, Suite 330,
Fairfax, VA 22030-0985

Ph: (703) 246-0022
Dr Kenneth Jae Yoon Kim, MD
3930 Pender Dr, Suite 330,
Fairfax, VA 22030-0985

Ph: (703) 246-0022

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› Verified 5 days ago


Pediatrics Doctors in Fairfax, VA

Ho Chung Tu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030
Phone: 703-359-0245    Fax: 928-436-3339
Dr. Lindsey Waldman,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031
Phone: 703-839-8797    
Dr. Laura E. Byrnes, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033
Phone: 703-391-0900    Fax: 703-391-2919
Dr. Julie-ann M Crewalk, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031
Phone: 703-226-2280    Fax: 703-752-1713
Sandy L. Chung, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033
Phone: 703-391-0900    Fax: 703-391-2919
Dr. James R Baugh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031
Phone: 703-573-2432    Fax: 703-280-9350
Benjamin Isaac Enav, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031
Phone: 571-314-0444    Fax: 855-237-3628

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