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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH W WATERS, MD

Active Sole Proprietor

DR. KENNETH W WATERS, MD is a Anesthesiology healthcare provider located in MCLEAN, Virginia. NPI 1811065584 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · MCLEAN, VA

Registration Details

NPI Number
1811065584
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.697905840397 yrs)
Last Updated
Jul 23, 2021
Licenses
D0068100 (MD)
MD044841 (DC)
MD17452 (ME)
EC-05-170 (ME)
0101252186 (VA)
Sole Proprietor
Yes

Practice Information

Address
KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER
8008 WESTPARK DRIVE
MCLEAN, VA, 22102
Browse VA providers · Browse ZIP 22102
Phone
7034891405
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in MCLEAN, VA

Name Credential NPI
DR. NEIL LEE M.D. 1639320187
DR. CRYSTAL ST. CLAIR MD 1538302047
ROHINI BATTU 1649560970
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.