Provider Demographics
NPI:1124394242
Name:WERNER, JOHN KENT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KENT
Last Name:WERNER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:SUNRISE PAVILLION, FLOOR 3
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5285
Mailing Address - Country:US
Mailing Address - Phone:571-231-2756
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:SUNRISE PAVILLION, FLOOR 3
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:571-231-2756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD89232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology