Healthcare Provider Details

I. General information

NPI: 1811444730
Provider Name (Legal Business Name): KENNETH PATRICK MAY D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 POINTE CENTER CT STE 110
DUMFRIES VA
22026-2670
US

IV. Provider business mailing address

493 BLACKWELL RD STE 117
WARRENTON VA
20186-2628
US

V. Phone/Fax

Practice location:
  • Phone: 703-523-1790
  • Fax:
Mailing address:
  • Phone: 540-905-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104557345
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: