Ken Lee Moles is a Family Medicine in Burke, Virginia. Ken Lee Moles practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ken Lee Moles is 1396716379. The last update date is 2010-06-08.
Ken Lee Moles's current location address is 9409 B Old Burke Lake Rd, Burke, Virginia. You can contact this provider via phone number 7039784200 and fax number 7035038263. The mailing address for Ken Lee Moles is 9409 B Old Burke Lake Rd, Burke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken Lee Moles |
|---|---|
| Address | 9409 B Old Burke Lake Rd, Burke, Virginia |
| Phone Number | 7039784200 |
| Fax Number | 7035038263 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396716379 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2010-06-08 |
Provider Mailing Address Detail
| Address | 9409 B Old Burke Lake Rd |
|---|---|
| City | Burke |
| State | Virginia (VA) |
| Post Code | 22015 |
| Phone Number | 7039784200 |
| Fax Number | 7035038263 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101048454 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5638216 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ken Lee Moles by the Centers for Medicare & Medicaid Services?
The Ken Lee Moles has been assigned the NPI (National Provider Identifier) 1396716379 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ken Lee Moles's facilities are geographically located?
The facilities of Ken Lee Moles are physically situated at the following location: 9409 B Old Burke Lake Rd, Burke, VA, 22015.
What is Ken Lee Moles'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 Ken Lee Moles is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Ken Lee Moles receive the assignment of its 1396716379 from the Centers for Medicare & Medicaid Services?
The Ken Lee Moles was issued its 1396716379 by the Centers for Medicare & Medicaid Services on 2006-01-30.
When was the information related to Ken Lee Moles most recently updated or refreshed?
The details pertaining to the Ken Lee Moles, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-08.
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