KENNETH J KIM PEDIATRICS
NPI 1710381660
Clinic/Center - Primary Care in Fairfax, VA

Active since October 21, 2014
3930 PENDER DR, SUITE 330, FAIRFAX, VA 22030(703) 246-0022(703) 246-0080 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth J Kim Pediatrics NPPES

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

KENNETH J KIM PEDIATRICS (NPI 1710381660) is a healthcare organization registered as a primary care in Fairfax, Virginia and active in the NPI registry since October 2014. The organization lists Kenneth J. Kim, President, as its authorized official.

NPPES Registry Identity

NPI1710381660
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENNETH J KIM, M.D., P.C.
Location Address3930 PENDER DR, SUITE 330Fairfax, VA 22030-0985
Mailing Address3930 Pender Dr, Suite 330Fairfax, VA 22030-0985 · (703) 246-0022 · Fax (703) 246-0080
Fax(703) 246-0080
Organization SubpartNo
Authorized OfficialKenneth J. KimPresident · (703) 246-0022
Enumeration DateOctober 21, 2014
Last NPPES UpdateNovember 11, 2014
NPI 1710381660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in VA · 0101245549
3930 PENDER DR, Fairfax, VA 22030

Other Names 1

Doing Business AsKenneth J Kim Pediatrics

Other Providers at the Same Location NPPES 20

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

Anesthesiology (Pain Medicine)
3930 PENDER DR, SUITE 120
FAIRFAX, VA 22030
Dentist
3930 PENDER DR, SUITE #250
FAIRFAX, VA 22030
Pediatrics
3930 PENDER DR, SUITE 330
FAIRFAX, VA 22030
Clinic/Center (Dental)
3930 PENDER DR, SUITE 110
FAIRFAX, VA 22030
Obstetrics & Gynecology (Gynecology)
3930 PENDER DR, SUITE 60
FAIRFAX, VA 22030
Orthopaedic Surgery
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Internal Medicine (Rheumatology)
3930 PENDER DR, SUITE 280
FAIRFAX, VA 22030
Dermatology
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030

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 Kenneth J Kim, M.D., P.C.'s NPI number?

The NPI number for Kenneth J Kim, M.D., P.C. is 1710381660. It was assigned to this organization in the NPPES registry on October 21, 2014. The provider is doing business as Kenneth J Kim Pediatrics.

Where is Kenneth J Kim, M.D., P.C. located?

Kenneth J Kim, M.D., P.C. is located at 3930 Pender Dr Suite 330, Fairfax, VA 22030. The listed phone number is (703) 246-0022.

What is Kenneth J Kim, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kenneth J Kim, M.D., P.C. was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.