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Kenneth Jesse Lopez
Student in an Organized Health Care Education/Training Program in Falls Church, Virginia
NPI 1396596904

Kenneth Jesse Lopez is a Student in an Organized Health Care Education/Training Program based in Falls Church, VA. Kenneth Jesse Lopez practices in Falls Church, VA. The NPI Number for Kenneth Jesse Lopez is 1396596904 and holds a License No. (Virginia).

The current practice location address for Kenneth Jesse Lopez is 3300 Gallows Rd, Falls Church, VA and can be reached out via phone at 703-776-6652.

Location: 3300 Gallows Rd, Falls Church, VA, 22042-3307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396596904
Provider Name
Kenneth Jesse Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3300 Gallows Rd, Falls Church, VA, 22042-3307
Phone Number
703-776-6652
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
703-776-6652
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
703-776-6652
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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