Healthcare Provider Details

I. General information

NPI: 1356534564
Provider Name (Legal Business Name): KEVIN MICHAEL TAYLOR MD, MTM&H
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-7500
US

IV. Provider business mailing address

4301 JONES BRIDGE RD
BETHESDA MD
20814-4799
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-3734
  • Fax:
Mailing address:
  • Phone: 301-295-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number0101241597
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: