Kc, Lilly

Kc, Lilly is an individual health care provider with primary practice located at 8100 Ashton Ave Suite 101, Manassas VA 20109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kc, Lilly can be contacted via phone (703) 257-8090.

Contact Information

Primary practice address
8100 Ashton Ave Suite 101 Manassas VA 20109
Fax: (703) 257-7822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101052436 Virginia

Profile Details

NPI number 1811981103
LBN Legal business name Kc, Lilly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811981103 NPPES
Other 080175698 RR MEDICARE
MEDICAID 05622867 RR MEDICARE

Popular Providers