Doctor profile · Federal record
Dr. Kenneth Kim, MD
Pediatrics Physician · Fairfax, VA
- NPI 1124221924
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3930 Pender Dr, Suite 330
Fairfax, VA 220300985
(703) 246-0022
fax (703) 246-0080
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- November 11, 2014
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Virginia #0101245549
- Medicaid
- VA #1124221924
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124221924. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Seqirus USA INC | 1 | $17.25 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Kim's medical specialty?
Dr. Kenneth Kim practices Pediatrics Physician in Fairfax, VA.
Where does Dr. Kenneth Kim practice?
Dr. Kenneth Kim practices at 3930 Pender Dr, Fairfax, VA 220300985. Office phone: 7032460022.
What is Dr. Kenneth Kim's NPI?
Dr. Kenneth Kim's National Provider Identifier (NPI) is 1124221924, issued by NPPES.