Mares, Kathleen Elizabeth

Mares, Kathleen Elizabeth is an individual health care provider with primary practice located at 8109 Hinson Farm Rd Ste 504 , Alexandria VA 22306-3411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mares, Kathleen Elizabeth can be contacted via phone (703) 780-2800.

Contact Information

Primary practice address
8109 Hinson Farm Rd Ste 504 Alexandria VA 22306-3411
Phone: (703) 780-2800
Fax: (703) 780-0461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024062894 Virginia

Profile Details

NPI number 1720038862
LBN Legal business name Mares, Kathleen Elizabeth
Credentials CANP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 7th, 2017 - about 8 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 1720038862 NPPES
Other 0018 BCBS-DC
Other 5374 BCBS-DC
Other 1720038862 BCBS-DC
Other 8304870 BCBS-DC

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