Kaiser Permanente Mid-Atlantic

NPI #1043438740 in Springfield, Virginia

Provider Information

NPI Number
1043438740
Entity Type
Organization
Organization Name
Kaiser Permanente Mid-Atlantic
Primary Specialty
Health Maintenance Organization
Enumeration Date
Apr 20, 2007
Last Updated
Aug 8, 2008

Practice Location

Address
6501 LOISDALE CT
ZIP Code
22150-1826
Phone
(703) 922-1034

Authorized Official

Name
DR. ELEANOR ANNE WILSON, DPM
Title
PODIATRIST
Phone
(703) 922-1034

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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