Search › Virginia › 207RG0100X
Kenneth Mirkin, M.D
NPI 1952372542 · on the registry since 2006
Practice
- Address
- 3028 Javier Rd Ste 500
Fairfax, VA 22031 - Phone
- (703) 698-8960
- Fax
- (571) 494-5794
- Organisation at this address
- Providence Dental Arts
Capitol Anesthesia Group Llc
Gastroenterology Associates Of Northern Virginia, Llc
Gastroenterology Associates Of Northern Virginia, Llc
Gastroenterology Associates Of Northern Virginia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 3022 Williams Dr, Fairfax, VA
- 3700 Joseph Siewick Dr Ste 308, Fairfax, VA
- 3914 Centreville Rd Ste 350, Chantilly, VA
- 100 Elden St Ste 10, Herndon, VA
- 120 Kings Way Ste 3500, Williamsburg, VA
- 850 Enterprise Pkwy Ste 2000, Hampton, VA
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia