Cleland, Kathleen Marie

Cleland, Kathleen Marie is an individual health care provider with primary practice located at 13135 Lee Jackson Memorial Hwy Ste 305 , Fairfax VA 22033-1907. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Cleland, Kathleen Marie can be contacted via phone (703) 359-8640.

Contact Information

Primary practice address
13135 Lee Jackson Memorial Hwy Ste 305 Fairfax VA 22033-1907
Phone: (703) 359-8640
Fax: (703) 591-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22398 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101244015 Virginia

Profile Details

NPI number 1528039708
LBN Legal business name Cleland, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 31st, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528039708 NPPES
Maryland MEDICAID 651060400
Maryland MEDICAID 060320900
Maryland MEDICAID 1528039708

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