Individual
DR. KEVIN J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 HERNDON PARKWAY, SUITE 100, HERNDON, VA 20170
(703) 481-1505
(703) 742-8793
Mailing address
PO BOX 791128, BALTIMORE, MD 21279
(703) 391-2030
(703) 273-3943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248162
VA
207Q00000X
Family Medicine Physician
0116021285
VA
Other
Enumeration date
06/18/2009
Last updated
11/27/2023
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