Provider Demographics
NPI:1740171115
Name:STARNES, KEVIN MONTE (LMT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:MONTE
Last Name:STARNES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 HARKINS RD
Mailing Address - Street 2:T301
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:202-646-0411
Mailing Address - Fax:
Practice Address - Street 1:7730 HARKINS RD.
Practice Address - Street 2:STE T301
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1315
Practice Address - Country:US
Practice Address - Phone:202-646-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM06825225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist