Matzie, Kimberly Ann

Matzie, Kimberly Ann is an individual health care provider with primary practice located at 2710 Prosperity Ave Suite 200, Fairfax VA 22031-4357. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Matzie, Kimberly Ann can be contacted via phone (703) 280-2841.

Contact Information

Primary practice address
2710 Prosperity Ave Suite 200 Fairfax VA 22031-4357
Phone: (703) 280-2841
Fax: (703) 280-4773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101248220 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 224443 Massachusetts

Profile Details

NPI number 1861579898
LBN Legal business name Matzie, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 4th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861579898 NPPES
Virginia MEDICAID 1861579898

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