Individual
KENNETH JOYCE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3833 N FAIRFAX DRIVE, SUITE 200, ARLINGTON, VA 22203
(703) 525-8863
(703) 525-8238
Mailing address
3022 WILLIAMS DRIVE, SUITE 300, FAIRFAX, VA 22031
(703) 573-9800
(703) 573-2959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110153970
RR MEDICARE
—
05
—
5811414
—
VA
Enumeration date
08/30/2006
Last updated
11/27/2023
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