Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1326114208 in Fairfax, Virginia

Provider Information

NPI Number
1326114208
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 - Managed Care Organization Pharmacy
Enumeration Date
Nov 24, 2006
Last Updated
Jul 24, 2025

Practice Location

Address
12255 FAIR LAKES PARKWAY
ZIP Code
22033-3952
Phone
(703) 934-5800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Managed Care Organization PharmacyManaged Care Organization Pharmacy

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