Individual
KENNETH GRANT MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CAMPUS BLVD STE 220, WINCHESTER, VA 22601-6906
(540) 536-5466
(540) 536-5475
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101035681
VA
Other
Enumeration date
07/12/2006
Last updated
03/02/2021
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