| |
1218 King St, Alexandria, VA 22314-2927 | |
(703) 684-0260 | |
(703) 684-0262 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1218 King St, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407071525 | NPI | - | NPPES |
237347 | Other | VA | BCBS OR ANTHEM BCBS OF VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 014000399 (Virginia) | Primary |
Provider Name | Karen A Deyoung |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225253347 PECOS PAC ID: 0941377915 Enrollment ID: I20080917000780 |
Mailing Address | Practice Location Address |
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1218 King St, Alexandria, VA 22314-2927 Ph: (703) 684-0260 | 1218 King St, Alexandria, VA 22314-2927 Ph: (703) 684-0260 |
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