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

Kibbum Kang, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1548502347

Kibbum Kang, NURSEPRACTITIONER is a Nurse Practitioner in Manassas, Virginia. Qualified in 2012, 14 years ago. Practices with Gastroenterology Associates VA, LLC, a 52-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7915 Lake Manassas Dr Ste 302, Gainesville, VA 20155-3260 — (571) 248-0653
  • 170 W Shirley Ave Ste 205, Warrenton, VA 20186-3083 — (540) 347-2470

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024174551 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024174551 (VA)

Record details

NPI number1548502347
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gastroenterology Associates Va, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manassas