Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kenneth Jae Yoon Kim, MD
Pediatrics Physician in Fairfax, VA · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1124221924
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Registry record
Entity type Individual (Type 1)
Name Dr. Kenneth Jae Yoon Kim
Credential MD
Sex Male
Practice address 3930 Pender Dr, Suite 330, Fairfax, VA, 22030
Phone (703) 246-0022
Fax (703) 246-0080
Enumeration date Jun 8, 2007
Last updated in NPPES Nov 11, 2014
Taxonomy & licenses
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 0101245549 (VA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124221924 | Medicaid | VA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Kenneth Kim?
The National Provider Identifier (NPI) for Kenneth Kim is 1124221924, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenneth Kim practice?
The practice location on file with NPPES is in Fairfax, VA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-11.