Individual
KENNETH BORECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9140 BELVOIR WOODS PKWY, FORT BELVOIR, VA 22060-2703
(703) 799-1200
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101271916
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/01/2017
Last updated
11/12/2025
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