Individual
DR. KENNETH WENSEN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4910 MASSACHUSETTS AVE NW, SUITE 115, WASHINGTON, DC 20016-4300
(877) 677-3627
(202) 237-0076
Mailing address
PO BOX 417346, BOSTON, MA 02241-7346
(703) 558-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0061159
MD
207Q00000X
Family Medicine Physician
Primary
MD034806
DC
Other
Enumeration date
08/12/2006
Last updated
05/04/2012
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