Active NPI 1124221924 Individual Practitioner Male Practitioner

Dr. Kenneth Jae Yoon Kim , MD

Pediatrics • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Kim, MD is a registered healthcare professional specializing in Pediatrics in Fairfax, VA. Practice services are available at 3930 PENDER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3930 Pender Dr
Suite 330

Fairfax, VA 220300985

Telephone 7032460022

Fax 7032460080

Associated Practice Facility / Clinic

🏢 Aram Orthopaedics, P.c. Facility NPI 1720088941

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fairfax, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

69 Specialists

Practicing in Fairfax, VA (2079 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101245549

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1124221924 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Silvia Yuen , FNP-C

Nurse Practitioner - Family

NPI 1457051997

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2014

Registered at 3930 PENDER DR, SUITE 330, FAIRFAX, VA 220300985 (Tel: 7032460022)

📍

Updated Business Mailing Address November 11, 2014

Registered at 3930 PENDER DR, SUITE 330, FAIRFAX, VA 220300985 (Tel: 7032460022)

👤

Provider Name / Credentials Updated November 11, 2014

Recorded as KENNETH KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2014

Pediatrics (License #0101245549 in VA)

🟢

Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kenneth Kim. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124221924

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2007

Last Update: November 11, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3930 Pender Dr, Suite 330

Fairfax, VA 220300985

Phone: 7032460022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.