Ken Lee Moles, MD

NPI #1396716379 in Burke, Virginia

Provider Information

NPI Number: 1396716379
Entity Type: Individual
Name: Ken Lee Moles, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 30, 2006
Last Updated: Jun 8, 2010

Practice Location

Address: 9409 B OLD BURKE LAKE RD
City: Burke
State: Virginia
ZIP Code: 22015
Phone: (703) 978-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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