NPI 1043438740

Kaiser Permanente Mid-Atlantic

Organisation Health Maintenance Organization Springfield, VA

Practice location

Address: 6501 Loisdale CT, Springfield, VA 22150-1826
Phone: (703) 922-1034
Mailing address: 6010 Good Lion CT, Alexandria, VA 22315-4623

Authorised official

Name: Eleanor Anne Wilson
Title: Podiatrist
Phone: (703) 922-1034

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0103000949 (VA)

Other Health Maintenance Organization providers in Virginia →

Registry record

NPI: 1043438740
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 8 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.