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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205820354 | NPPES |
| Virginia | MEDICAID | 05859204 |
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