Geolyy, Kenneth

Geolyy, Kenneth is an individual health care provider with primary practice located at 8316 Arlington Blvd Suite 104, Fairfax VA 22031-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Geolyy, Kenneth can be contacted via phone (703) 560-1313.

Contact Information

Primary practice address
8316 Arlington Blvd Suite 104 Fairfax VA 22031-5207
Phone: (703) 560-1313
Fax: (703) 876-0824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101057939 Virginia

Profile Details

NPI number 1659325744
LBN Legal business name Geolyy, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 16th, 2008 - about 16 years ago

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 1659325744 NPPES
Virginia MEDICAID 6034501

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