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NPI Code Detail

MEDICARE: MR. STEPHEN LEIGH KINNEY MD

MEDICARE: MR. STEPHEN LEIGH KINNEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianD0037617MD
2207QA0505XAdult Medicine PhysicianMD19758DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CS9307842OTHERDCDC CDS
3M68191OTHERMDCDS

General Provider Information

NPI Number : 1972611051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN LEIGH KINNEY MD
Provider Business Mailing Address
First Line : 2 WISCONSIN CIR STE 700
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-7007
Country : US
Telephone Number : 202-368-6820
Fax Number : 202-370-6945
Provider Business Practice Location Address
First Line : 2 WISCONSIN CIR STE 700
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-7007
Country : US
Telephone Number : 202-368-6820
Fax Number : 202-370-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 03/07/2023

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