Fine, Kenneth M
Fine, Kenneth M is an individual health care provider with primary practice located at 14995 Shady Grove Rd Ste 350 , Rockville MD 20850-8726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fine, Kenneth M can be contacted via phone (301) 251-1433.Contact Information
Primary practice address
14995 Shady Grove Rd Ste 350
Rockville MD 20850-8726
Phone: (301) 251-1433
Fax: (301) 251-2768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0057027 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD19072 | District of Columbia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD19072 | District of Columbia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0057027 | Maryland |
Profile Details
| NPI number | 1851367973 |
|---|---|
| LBN Legal business name | Fine, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851367973 | NPPES |
| Maryland | MEDICAID | 098003000 | |
| Maryland | MEDICAID | 006401678 |
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