NPI 1477712552

Kenneth E. Bivens, PAC

Practitioner Occupational Medicine Physician Lanham, MD

Practice location

Address: 4451 Parliament Pl STE G, Lanham, MD 20706-1873
Phone: (301) 459-9113
Mailing address: 5080 Spectrum Dr Suite 1200 West, Addison, TX 75001-4648

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence C00799 (MD)

Other Preventive Medicine providers in Maryland →

Registry record

NPI: 1477712552
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2008
Record last updated: 4 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.