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Kaiser Permanente

Health Maintenance Organization in Springfield, VA. Organization (NPI-2).

NPI number1073855250
StatusActive
Last updated in NPPESMar 26, 2013

Details

NPI
1073855250
Entity type
Organization (NPI-2)
Legal business name
Kaiser Permanente
Organization subpart
No
Enumeration date
Mar 26, 2013
Last updated
Mar 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization0202010922VAYes

Practice location

6501 Loisdale Ct
Springfield, VA 22150-1826

Phone 703-922-1014 · Fax 703-922-1601

Mailing address

6501 Loisdale Ct
Springfield, VA 22150-1826

Phone 703-922-1014 · Fax 703-922-1601

Authorized official

Pauline Vuong
Pharmacist
7039221014

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