King, Kathleen A

King, Kathleen A is an individual health care provider with primary practice located at 2740 Prosperity Ave Suite 200, Fairfax VA 22031-4353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Kathleen A can be contacted via phone (703) 321-2600.

Contact Information

Primary practice address
2740 Prosperity Ave Suite 200 Fairfax VA 22031-4353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0001236553 Virginia

Profile Details

NPI number 1730440363
LBN Legal business name King, Kathleen A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Oct 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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