DR. KENNETH GEOLYY M.D. NPI 1659325744

NPI Information

NPI: 1659325744
Provider Name: DR. KENNETH GEOLYY, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
8316 ARLINGTON BLVD
SUITE 104
FAIRFAX, VA
ZIP 22031
Phone: (703) 560-1313
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DR. Kenneth Geolyy, M.D. is a nephrology internal medicine in Fairfax, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Kenneth Geolyy, M.D. NPI is 1659325744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8316 ARLINGTON BLVD
SUITE 104
FAIRFAX, VA
ZIP 22031-207
Phone: (703) 560-1313
Fax: (703) 876-0824

The enumeration date for this NPI number is 5/22/2006 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	0101057939	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	056324	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA
2	B93011	MEDICARE UPIN	VIRGINIA
3	6034501	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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