Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kent Village Medical Center, LLC

Organization Urgent Care Clinic/Center · NPI 1578979886

Kent Village Medical Center, LLC is an Urgent Care Clinic/Center in Manassas Park, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Kent Village Sq
Manassas Park, VA 20111-4155
Phone: (703) 715-9700
Fax: (703) 715-0202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence 0101028651 (VA)

Record details

NPI number1578979886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Federico Gonzales — Owner · (703) 715-9700
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014
Mailing address3700 Joseph Siewick Dr, Suite 401, Fairfax, VA 22033-1744