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

Dr. Kevin J Lee, MD

Individual provider Family Medicine Physician · NPI 1194952978

Dr. Kevin J Lee, MD is a Family Practice in Herndon, Virginia. Qualified in 2009, 17 years ago. Practices with Fairfax Family Practice Centers PC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 Herndon Pkwy Ste 100
Herndon, VA 20170
Phone: (703) 481-1505
Fax: (703) 742-8793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101248162 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116021285 (VA)

Record details

NPI number1194952978
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESNovember 27, 2023
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fairfax Family Practice Centers Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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