Individual provider · Type 1 NPI

Kenneth Jesse Lopez

Student in an Organized Health Care Education/Training Program · Falls Church, VA

NPI number 1396596904 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Pediatrics Physician 208000000X0116039223 (VA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1396596904

Kenneth Jesse Lopez's National Provider Identifier is 1396596904, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Falls Church, VA. The record was last updated on Jun 18, 2024.