Individual provider · Type 1 NPI

Kenna G. Pak

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

NPI number 1417819236 Active

Practice location

6400 Arlington Blvd
Falls Church, VA 22042-2325

Call (703) 531-3000 Map

Mailing address

5695 Tunwell Ct
Burke, VA 22015-1886

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1417819236

Kenna G. Pak's National Provider Identifier is 1417819236, issued on Dec 1, 2025. 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 Dec 1, 2025.