Provider Demographics
NPI:1104180892
Name:AKOR, KEVIN C (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:C
Last Name:AKOR
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1500 FOREST GLEN ROAD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-592-4285
Mailing Address - Fax:301-982-6488
Practice Address - Street 1:1500 FOREST GLEN ROAD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-592-4285
Practice Address - Fax:301-982-6488
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2019-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0006798363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant