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

Kenneth Jesse Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396596904

Kenneth Jesse Lopez is a Student in an Organized Health Care Education/Training Program in Falls Church, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-6652
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence 0116039223 (VA)

Record details

NPI number1396596904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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