Kenyona Lane is a Clinical in Woodbridge, Virginia. Kenyona Lane practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenyona Lane is 1649464348. The last update date is 2016-09-19.
Kenyona Lane's current location address is 14950 Potomac Heights Pl Apt 204, Woodbridge, Virginia. You can contact this provider via phone number 7045774576. The mailing address for Kenyona Lane is 14950 Potomac Heights Pl Apt 204, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyona Lane |
|---|---|
| Address | 14950 Potomac Heights Pl Apt 204, Woodbridge, Virginia |
| Phone Number | 7045774576 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649464348 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2016-09-19 |
Provider Mailing Address Detail
| Address | 14950 Potomac Heights Pl Apt 204 |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221916247 |
| Phone Number | 7045774576 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904009514 |
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What is the Kenyona Lane's 1649464348?
The Kenyona Lane's NPI (National Provider Identifier) Number is 1649464348. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenyona Lane is physically located?
The Kenyona Lane is physically situated at the following address: 14950 Potomac Heights Pl Apt 204, Woodbridge, VA, 221916247.
What is Kenyona Lane's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenyona Lane is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649464348 to Kenyona Lane?
The Kenyona Lane received its 1649464348 assignment from the Centers for Medicare & Medicaid Services on 2007-09-05.
When was the information regarding Kenyona Lane, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenyona Lane, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-09-19.
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