DR. KEVIN J LEE (NPI# 1194952978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194952978 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J LEE |
| Credential | MD |
| Practice Address |
555 Herndon Parkway Suite 100 Herndon VA 20170 |
| Mailing Address |
Po Box 791128 Baltimore MD 21279 |
| Practice Telephone | 7034811505 |
| Practice Fax Number | 7037428793 |
| Mailing Telephone | 7033912030 |
| Mailing Fax Number | 7032733943 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101248162 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0116021285 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668639 | Kevin Lee | Occupational Therapist | 1417 Royal Grove Ln, Port Orange, FL 32129-8620 | 2020-10-28 |
| 1689292047 | Kevin Kuang Lee | Dentist | 2341 Toyon Way, San Bruno, CA 94066-1937 | 2020-07-11 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
| 1558848952 | Kevin Lee | Acupuncturist | 3775 Venture Dr Bldg N, Duluth, GA 30096-5102 | 2018-07-27 |
| 1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
| 1437427952 | Kevin Dale Lee | Counselor | 4750 S Harvard Ave, Suite #81, Tulsa, OK 74135-3031 | 2011-12-12 |
| 1275855579 | Kevin K Lee | Pharmacist | 441 Valley Brook Ave, Lyndhurst, NJ 07071-1935 | 2010-02-28 |
| 1558543736 | Kevin Seokkyu Lee | Dentist | 1 Barstow Rd Ste P23, Great Neck, NY 11021-3501 | 2007-11-29 |
| 1134321516 | Kevin Kwonki Lee | Dentist | 22342 Avenida Empresa Ste 285, Rancho Santa Margarita, CA 92688-2162 | 2007-06-05 |
| Street Address |
555 HERNDON PARKWAY SUITE 100 |
| City | HERNDON |
| State | VA |
| Zip Code | 20170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305102 | Jason A. Cooper | Family Medicine | 555 Herndon Parkway, Ste 100, Herndon, VA 20170-4828 | 2005-09-06 |
| 1447407309 | Po Storrs | Nurse Practitioner | 555 Herndon Parkway, Suite 100, Herndon, VA 20170 | 2008-08-22 |
| 1316062581 | Fairfax Family Practice Centers PC | Family Medicine | 555 Herndon Parkway, Suite 100, Herndon, VA 20170-4828 | 2007-03-20 |
| 1881763217 | Edwin Ho-wing Wong | Family Medicine | 555 Herndon Parkway, Suite 100, Herndon, VA 20170 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629480454 | Monica Luu Quach Hwang | Family Medicine | 381 Elden St Ste 1000, Herndon, VA 20170-4842 | 2014-05-28 |
| 1043631906 | Fred Clayton Wilkins Jr. | Family Medicine | 104 Anthem Ave, Herndon, VA 20170-5161 | 2013-12-19 |
| 1356507990 | Heba K Elzawahry | Family Medicine | 3570 Joseph Siewick Dr. Suite 400, Herndon, VA 22033 | 2008-08-04 |
| 1548428873 | Nirupama Kopparti | Family Medicine | 1043 Sterling Rd Ste 104, Herndon, VA 20170-3842 | 2008-05-22 |
| 1083742621 | Robin L. Donald | Family Medicine | 1141 Elden St, Third Floor, Herndon, VA 20170-5549 | 2007-03-02 |
| 1053487264 | Charles R Payling Wright | Family Medicine | 106 Elden St, #10, Herndon, VA 20170 | 2006-11-28 |
| 1942215330 | Rohini Wijetilleke Md PC | Family Medicine | 100 Elden Street, Suite 14, Herndon, VA 20170 | 2006-07-31 |
| 1295760510 | Dulles Family Medicine P.C. | Family Medicine | 504 Elden St # 3, Herndon, VA 20170-4741 | 2006-07-12 |
| 1053305102 | Jason A. Cooper | Family Medicine | 555 Herndon Parkway, Ste 100, Herndon, VA 20170-4828 | 2005-09-06 |
| 1407840788 | Deborah I Leavens | Family Medicine | 555 Herndon Pkwy, Ste 100, Herndon, VA 20170-5276 | 2005-09-01 |
| Find all providers in HERNDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.