Kerry Ann Cook, PA-C
Physician Assistant, Medical in Fairfax, VA. Individual provider (NPI-1).
NPI number1720344229
StatusActive
Last updated in NPPESApr 9, 2012
Details
- NPI
- 1720344229
- Entity type
- Individual (NPI-1)
- Name
- Miss Kerry Ann Cook
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2012
- Last updated
- Apr 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110003854 | VA | Yes |
Practice location
3031 Javier RdSuite 210
Fairfax, VA 22031-4637
Phone 703-914-8000 · Fax 703-914-0064
Mailing address
3031 Javier RdSuite 210
Fairfax, VA 22031-4637
Phone 703-914-8000 · Fax 703-914-0064
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Medical Physician Assistant providers in Fairfax · All 8,425 providers in Fairfax
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