Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH PAUL MORITSUGU, MD, MPH
Active Sole ProprietorPublic Health & General Preventive Medicine · GREAT FALLS, VA
Registration Details
- NPI Number
- 1104104611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2011 (14.720242532303 yrs)
- Last Updated
- Aug 1, 2011
- License
-
D0027957 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9561 BELL DRGREAT FALLS, VA, 220663723Browse VA providers · Browse ZIP 22066
- Phone
- 4087261014
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.