| Kenko Pllc | |
|
14130 Noblewood Plz Ste 301 Woodbridge VA 22193-1467 | |
| (703) 485-0470 | |
| Not Available |
| Full Name | Kenko Pllc |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 14130 Noblewood Plz Ste 301, Woodbridge, Virginia |
| Authorized Official Name and Position | Martha Casamalhuapa (OWNER) |
| Authorized Official Contact | 7034850470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenko Pllc 14130 Noblewood Plz Ste 301 Woodbridge VA 22193-1467 Ph: (703) 485-0470 | Kenko Pllc 14130 Noblewood Plz Ste 301 Woodbridge VA 22193-1467 Ph: (703) 485-0470 |
| NPI Number | 1952080822 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952080822 | NPI | - | NPPES |
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