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JAE KIM, MD PLC
NPI 1306308382
Otolaryngology - Facial Plastic Surgery in Fairfax, VA

Active since April 01, 2019
10721 MAIN ST STE 205, FAIRFAX, VA 22030(703) 705-2100(703) 935-0330 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Apr 1, 2019 (2 updates tracked since 2019).

About Jae Kim, Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE KIM, MD PLC (NPI 1306308382), doing business as Jae Kim, Md Facial Plastic Surgery, is a healthcare organization registered as a facial plastic surgery in Fairfax, Virginia and active in the NPI registry since April 2019. The organization lists Jae Kim, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1306308382
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameJAE KIM, MD PLC
Location Address10721 MAIN ST STE 205Fairfax, VA 22030-6902
Mailing Address2200 Wilson Blvd Ste 102-219Arlington, VA 22201-3397
Phone(703) 705-2100
Fax(703) 935-0330
Organization SubpartNo
Authorized OfficialJae KimAuthorized Member · (347) 551-1113
Enumeration DateApril 1, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1306308382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
10721 MAIN ST STE 205, Fairfax, VA 22030
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Other Names 1

Doing Business AsJae Kim, Md Facial Plastic Surgery

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITTER CARDIOLOGY PLLC
Internal Medicine (Cardiovascular Disease)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Fairfax City (845) 416-2884
JODY RITTER DO
Internal Medicine (Cardiovascular Disease)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Fairfax City (571) 407-7197
YOU ARE BEAUTIFUL SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Fairfax City (703) 705-2100
YOU ARE BEAUTIFUL AESTHETIC INSTITUTE, PLLC
Otolaryngology (Facial Plastic Surgery)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Fairfax City (703) 705-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Kim, MD Plc's NPI number?

The NPI number for Jae Kim, MD Plc is 1306308382. It was assigned to this organization in the NPPES registry on April 1, 2019. The provider is doing business as Jae Kim, MD Facial Plastic Surgery.

Where is Jae Kim, MD Plc located?

Jae Kim, MD Plc is located at 10721 Main St Ste 205, Fairfax, VA 22030. The listed phone number is (703) 705-2100.

What is Jae Kim, MD Plc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Jae Kim, MD Plc was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.