Whalio Doctors

NPI 1083659189

Jennifer Kannan, PAC

Practitioner Hospitalist Physician Fairfax, VA

Practice location

Address
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
Phone
(703) 391-3558
Fax
(703) 391-3441
Mailing address
PO Box 9150, Paducah, KY 42002-9150

Registered specialties (3)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 0110005279 (VA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110005279 (VA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3744 (MA)

Registry record

NPI
1083659189
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jun 2006
Record last updated
17 Mar 2018

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.