Active NPI
Sun Kuk Kim, PA-C
- Medical Physician Assistant
- Portsmouth, VA
National Provider Identifier
1356532238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1123015
- Practice address
- 4000 Coast Guard Blvd
Portsmouth, VA 23703-2135 - Phone
- (757) 483-8596
- Fax
- (757) 483-8610
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1123015 | Primary |
Addresses
Primary practice location
4000 Coast Guard Blvd
Portsmouth, VA 23703-2135
Mailing address
4000 Coast Guard Blvd
Portsmouth, VA 23703-2135
Phone (577) 483-8596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1123015 | Other | NCCPA | |
| 0110010810 | Other | VA | STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | na | Direct | |
| Other URL | na | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1356532238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 COAST GUARD BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237032135",
"telephone_number": "577-483-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 COAST GUARD BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237032135",
"telephone_number": "757-483-8596",
"fax_number": "757-483-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUN",
"middle_name": "KUK",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "1123015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1123015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0110010810",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "na",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4000 Coast Guard Blvd",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "237032135",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "na",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4000 Coast Guard Blvd",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "237032135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.