| Kerry R. Lewis M.d. Ltd. | |
|
10560 Main St Suite 210 Fairfax VA 22030-7182 | |
| (703) 273-3613 | |
| Not Available |
| Full Name | Kerry R. Lewis M.d. Ltd. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 10560 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Kerry Randall Lewis (PHYSICIAN) |
| Authorized Official Contact | 7032733613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry R. Lewis M.d. Ltd. 10560 Main St Suite 210 Fairfax VA 22030-7182 Ph: (703) 273-3613 | Kerry R. Lewis M.d. Ltd. 10560 Main St Suite 210 Fairfax VA 22030-7182 Ph: (703) 273-3613 |
| NPI Number | 1508153602 |
|---|---|
| Provider Enumeration Date | 07/09/2011 |
| Last Update Date | 07/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508153602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 0101028949 (Virginia) | Primary |
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