IndividualActive
Kenneth Bivens, PA-C
NPI 1477712552 · Occupational Medicine Physician · Lanham, MD
Provider details
- NPI number
- 1477712552
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- C00799 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4451 Parliament Pl Ste G
Lanham, MD 20706-1873
Phone: (301) 459-9113
Approximate (ZIP-level) locationGet directions
Mailing address
5080 Spectrum Dr
Addison, TX 75001-4648
Registry dates
- Enumerated
- 2008-06-04
- Last updated
- 2008-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.