NPI 1073855250

Kaiser Permanente

Organisation Health Maintenance Organization Springfield, VA

Practice location

Address: 6501 Loisdale CT, Springfield, VA 22150-1826
Phone: (703) 922-1014
Fax: (703) 922-1601

Authorised official

Name: Pauline Vuong
Title: Pharmacist
Phone: (703) 922-1014

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0202010922 (VA)

Other Health Maintenance Organization providers in Virginia →

Registry record

NPI: 1073855250
Entity type: Organization
NPI issued: 26 Mar 2013
Record last updated: 26 Mar 2013

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.