Individual
KEVIN BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-9327
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283315
VA
Other
Enumeration date
05/29/2023
Last updated
07/25/2024
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