Kaiser Permanente Mid-atlantic

NPI 1043438740 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1043438740
Enumeration Date 04/20/2007
Last Updated 08/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELEANOR ANNE ELEANOR
Position PODIATRIST
Phone (703) 922-1034
Fax
Practice Location
6501 LOISDALE CT
SPRINGFIELD VA, 22150-1826, US
Phone (703) 922-1034
Fax
Business Location
6010 GOOD LION CT
ALEXANDRIA VA, 22315-4623, US
Phone (703) 922-1034
Fax (703) 922-1628
Toxanomy
Taxonomy Code 302R00000X
License State Virginia
License Number 0103000949
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According to our database, Kaiser Permanente Mid-atlantic NPI is 1043438740, taxonomy code is 302R00000X and license number is 0103000949, license state is located at Virginia. Kaiser Permanente Mid-atlantic physically located at 6501 Loisdale Ct, Springfield VA, 22150-1826. NPI Number 1033115704 has the healthcare provider type.

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1043438740 NPI number is provided on an as is basis without warranty of any kind. 1043438740 is maintained by the National Plan & Provider Enumeration System. The contents of Kaiser Permanente Mid-atlantic are for informational purposes only.