Mrs Kelly Kathryn Mcguffin, RD | |
3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033-2944 | |
(703) 424-9676 | |
Not Available |
Full Name | Mrs Kelly Kathryn Mcguffin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3903 Fair Ridge Dr Ste 209, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295820553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 859065 (Virginia) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Mrs Kelly Kathryn Mcguffin, RD 24618 Salmon River Pl, Aldie, VA 20105-5534 Ph: (540) 908-5538 | Mrs Kelly Kathryn Mcguffin, RD 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033-2944 Ph: (703) 424-9676 |
Mrs. Jung-oak Joanne Choe, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9340 Tovito Dr, Fairfax, VA 22031 Phone: 703-772-1356 | |
Neda Kashanian, D.T. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3023 Hamaker Ct Ste 600, Fairfax, VA 22031 Phone: 703-876-2788 Fax: 571-423-5064 | |
Christine A Gilloon, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033 Phone: 703-359-8640 Fax: 703-591-6105 | |
Heidi Ruth Hunnicutt, Dietitian Medicare: Medicare Enrolled Practice Location: 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 Phone: 703-865-6490 | |
Carrie Peers, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-1945 | |
Stephanie Lynn Smith, RDN, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4375 Fair Lakes Ct, Fairfax, VA 22033 Phone: 571-432-2669 | |
Laura Royfe, MS RD Dietitian Medicare: Medicare Enrolled Practice Location: 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033 Phone: 703-391-4984 |