Edmiston, Kirsten K
Edmiston, Kirsten K is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Edmiston, Kirsten K can be contacted via phone (571) 472-4724.Contact Information
Primary practice address
8081 Innovation Park Dr
Fairfax VA 22031-4867
Phone: (571) 472-4724
Fax: (571) 472-0241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 0101055411 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101055411 | Virginia |
Profile Details
| NPI number | 1386630507 |
|---|---|
| LBN Legal business name | Edmiston, Kirsten K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386630507 | NPPES |
| Virginia | MEDICAID | 7306521 |
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