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1952372542
KENNETH R MIRKIN
FAIRFAX, VA
NPI
1952372542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: VA 0101036056)
Enumeration Date
2006-01-31
Last Update Date
2019-05-07
Business Address
Dr. KENNETH R MIRKIN M.D.
3028 JAVIER RD STE 500
FAIRFAX, VA 22031
Phone number: 703-698-8960
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Mailing Address
Dr. KENNETH R MIRKIN M.D.
3700 JOSEPH SIEWICK DR STE 308
FAIRFAX, VA 22033-1739
Phone number: 703-698-8960
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