Poller, Kristina Jean

Poller, Kristina Jean is an individual health care provider with primary practice located at 8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center, Mc Lean VA 22102-3109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Poller, Kristina Jean can be contacted via phone (703) 287-6400.

Contact Information

Primary practice address
8008 Westpark Dr Kaiser Permanente Tysons Corner Medical Center Mc Lean VA 22102-3109
Phone: (703) 287-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H0069445 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0102202776 Virginia

Profile Details

NPI number 1114005501
LBN Legal business name Poller, Kristina Jean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 22nd, 2021 - about 4 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 1114005501 NPPES
Maryland MEDICAID 418033000

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