Individual
DR. KENNETH M FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 251-2768
Mailing address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 251-2768
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0057027
MD
207X00000X
Orthopaedic Surgery Physician
MD19072
DC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0057027
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD19072
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006401678
—
VA
05
—
098003000
—
MD
Enumeration date
02/28/2006
Last updated
01/27/2023
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