Kaiser Permanente Mid-Atlantic
Health Maintenance Organization in Springfield, VA. Organization (NPI-2).
NPI number1043438740
StatusActive
Last updated in NPPESAug 8, 2008
Details
- NPI
- 1043438740
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Permanente Mid-Atlantic
- Organization subpart
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Aug 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 0103000949 | VA | Yes |
Practice location
6501 Loisdale CtSpringfield, VA 22150-1826
Phone 703-922-1034
Mailing address
6010 Good Lion CtAlexandria, VA 22315-4623
Phone 703-922-1034 · Fax 703-922-1628
Authorized official
Eleanor Anne Wilson
Podiatrist
7039221034
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