Individual
KENNA G PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 ARLINGTON BLVD, FALLS CHURCH, VA 22042-2325
(703) 531-3000
Mailing address
5695 TUNWELL CT, BURKE, VA 22015-1886
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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