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Kang Kim

Physician Assistant β€’ Quantico, VA

Active NPI 1497184030 Individual Practitioner Male Practitioner
Practice location in NPPES

3259 Catlin Ave
Quantico, VA 221345109

Call 3015351541 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3259 Catlin Ave

Quantico, VA 221345109

Telephone 3015351541
Organization at the Same NPPES Address or Phone
Nhc Quantico Facility NPI 1508839903

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Quantico and Virginia

12 active clinicians are listed under Physician Assistant with a practice address in Quantico, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Quantico

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Han Bui , MD

Family Medicine

NPI 1225002058

Doctor of Medicine (M.D.)

James Butcher

Physical Therapist

NPI 1427232560
Deanna Cardoso , APRN, FNP-C

Nurse Practitioner - Family

NPI 1619640026

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Dawn Ingram , DPT

Physical Therapist

NPI 1831398619

Doctor of Physical Therapy

Stacy Jones , FNP-C

Nurse Practitioner - Family

NPI 1952645665

Family Nurse Practitioner (Certified)

Julia Karpunina , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1912465089

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 02, 2025

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 3015351541)

πŸ“
Updated Practice Location January 16, 2024

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 3015351541)

πŸ“
Updated Business Mailing Address January 16, 2024

Registered at USS GEORGE H W BUSH, CVN77, FPO, AE 09513 (Tel: 3015351541)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Physician Assistant

βœ…
NPI Profile Active November 04, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2013

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 3015351541)

πŸ“
Business Mailing Address (Initial Record) November 04, 2013

Registered at 2080 CHILD STREET, APO, AA 32214 (Tel: 3015351541)

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2013

Recorded as KANG KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2013

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration November 04, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497184030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2013
Last Update: April 02, 2025
Sole Proprietor: No

Mailing Address

Uss George H W Bush, Cvn77

Fpo, AE 09513

Phone: 3015351541

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.