Graduated: 2014
NPI: 1861806457
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028779875
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1201 HOSPITAL DR
FREDERICKSBURG, VA 224018428
5403683700
Source: CMS National Downloadable File, September 2026.