Individual
DR. KENNETH JOSEPH HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2517 N GLEBE RD, ARLINGTON, VA 22207-3524
(703) 522-8404
(703) 522-2692
Mailing address
2517 NORTH GLEBE ROAD, ARLINGTON,, VA 22207
(703) 522-8404
(703) 522-2692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037042
VA
Other
Enumeration date
10/05/2006
Last updated
06/20/2018
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