Fine, Kenneth M

Fine, Kenneth M is an individual health care provider with primary practice located at 14995 Shady Grove Rd Ste 350 , Rockville MD 20850-8726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fine, Kenneth M can be contacted via phone (301) 251-1433.

Contact Information

Primary practice address
14995 Shady Grove Rd Ste 350 Rockville MD 20850-8726
Phone: (301) 251-1433
Fax: (301) 251-2768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0057027 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD19072 District of Columbia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD19072 District of Columbia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D0057027 Maryland

Profile Details

NPI number 1851367973
LBN Legal business name Fine, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851367973 NPPES
Maryland MEDICAID 098003000
Maryland MEDICAID 006401678

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