Waters, Kenneth W

Waters, Kenneth W is an sole proprietor health care provider with primary practice located at Kaiser Permanente Tysons Corner Medical Center 8008 Westpark Drive, Mclean VA 22102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Waters, Kenneth W can be contacted via phone (703) 489-1405.

Contact Information

Primary practice address
Kaiser Permanente Tysons Corner Medical Center 8008 Westpark Drive Mclean VA 22102
Phone: (703) 489-1405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0068100 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD044841 District of Columbia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD17452 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X EC-05-170 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101252186 Virginia

Profile Details

NPI number 1811065584
LBN Legal business name Waters, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 23rd, 2021 - about 3 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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