Provider Demographics
NPI:1548332414
Name:SCHOR, KENNETH WILSON (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:WILSON
Last Name:SCHOR
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8112 SAXONY DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1328
Mailing Address - Country:US
Mailing Address - Phone:703-207-9481
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL NAVAL MEDICAL CTR
Practice Address - Street 2:8901 WISCONSIN AVE.
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-8369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 00049922083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine