Dr. Kenneth John Fish, D.C.
Chiropractor in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1124157516
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124157516
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth John Fish
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 01987 | MD | Yes |
Practice location
937 Russell Ave Ste BGaithersburg, MD 20879-3280
Phone 301-519-1881 · Fax 301-519-1131
Mailing address
Po Box 2004Montgomery Village, MD 20886-2004
Phone 301-519-1881 · Fax 301-519-1131
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