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NPI Code Detail

MEDICARE: KENNETH LUONG

MEDICARE: KENNETH LUONG
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
1225100000XPhysical Therapist30787MD

General Provider Information

NPI Number : 1528913621
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH LUONG
Provider Business Mailing Address
First Line : 9141 ALAKING CT STE 112
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-5049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9141 ALAKING CT STE 112
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-5049
Country : US
Telephone Number : 301-499-4655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ KENNETH LUONG ” Practice Location

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