Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ie Rae Kim

Individual provider Family Nurse Practitioner · NPI 1568312379

Ie Rae Kim is a Family Nurse Practitioner in Centreville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

14518 N Barros Ct
Centreville, VA 20120-1641
Phone: (571) 243-2799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24196169 (VA)

Record details

NPI number1568312379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2026
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 30, 2026

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