Lee, Kenneth H

Lee, Kenneth H is an individual health care provider with primary practice located at 115 Park St Se Suite 300, Vienna VA 22180-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Kenneth H can be contacted via phone (703) 255-9100.

Contact Information

Primary practice address
115 Park St Se Suite 300 Vienna VA 22180-4653
Phone: (703) 255-9100
Fax: (703) 255-3457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101052450 Virginia

Profile Details

NPI number 1205820354
LBN Legal business name Lee, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820354 NPPES
Virginia MEDICAID 05859204

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