Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1164597019 in Burke, Virginia

Provider Information

NPI Number: 1164597019
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Primary Specialty: Pharmacy - Home Infusion Therapy Pharmacy
Enumeration Date: Nov 22, 2006
Last Updated: Jul 24, 2025

Practice Location

Address: 5999 BURKE COMMONS RD
Address 2: 4TH FLOOR
City: Burke
State: Virginia
ZIP Code: 22015-2880
Phone: (703) 249-7750

Authorized Official

Name: COLLEEN SWINTON
Title: DIRECTOR, CREDENTIALING
Phone: (301) 257-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy	3336H0001X	Primary

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