| Kurt Brandt, Md | |
|
2355a Mill Rd Alexandria VA 22314-4608 | |
| (703) 838-4455 | |
| Not Available |
| Full Name | Kurt Brandt, Md |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2355a Mill Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Michael Gilmore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7038384455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt Brandt, Md 2355a Mill Rd Alexandria VA 22314-4608 Ph: (703) 838-4455 | Kurt Brandt, Md 2355a Mill Rd Alexandria VA 22314-4608 Ph: (703) 838-4455 |
| NPI Number | 1043483415 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043483415 | NPI | - | NPPES |
| 10233662 | Other | VA | AMERIGROUP CORP |
| 0093 | Other | VA | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0101033931 (Virginia) | Primary |
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