MR. SUN KUK KIM PA-C
NPI 1356532238
Physician Assistant - Medical in Portsmouth, VA

Active since August 06, 2007
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703(757) 483-8596(757) 483-8610 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jan 24, 2022, Jul 10, 2018 (3 updates tracked since 2018).

About Mr. Sun Kuk Kim Pa-c NPPES

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

MR. SUN KUK KIM PA-C (NPI 1356532238) is an individual medical provider in Portsmouth, Virginia, licensed in (1123015) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1356532238
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SUN KUK KIMCredential: PA-C
Location Address4000 COAST GUARD BLVDPortsmouth, VA 23703-2135
Mailing Address4000 Coast Guard BlvdPortsmouth, VA 23703-2135 · (577) 483-8596
Fax(757) 483-8610
Sole ProprietorNo
Enumeration DateAugust 6, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1356532238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed · 1123015
4000 COAST GUARD BLVD, Portsmouth, VA 23703

Other Identifiers 2

Other1123015Nccpa
Other25MP00362400NJ · State License

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Military Health Care Provider
4000 COAST GUARD BLVD, MEDICAL DIVISION
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Military Health Care Provider (Independent Duty Medical Technicians)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD, USCGC NORTHLAND (WMEC 904)
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Military Health Care Provider
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD, ISC PORTSMOUTH HSDIV
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD, USCG ISC PORTSMOUTH
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD, USCG ISC
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Technician, Health Information
4000 COAST GUARD BLVD, CGC FORWARD
PORTSMOUTH, VA 23703
Emergency Medical Technician, Basic
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Social Worker (Clinical)
4000 COAST GUARD BLVD, HSWL
PORTSMOUTH, VA 23703
Counselor (Mental Health)
4000 COAST GUARD BLVD, HSWL
PORTSMOUTH, VA 23703
Technician, Health Information (Assistant Record Technician)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356532238, enumerated as an "individual" on August 06, 2007.

The provider is located at 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 and the phone number is (757) 483-8596.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.