| Susan Kinkead-acree, Md, Pllc | |
|
1320 Old Chain Bridge Rd Suite 420 Mc Lean VA 22101-3956 | |
| (703) 992-6537 | |
| (703) 992-6539 |
| Full Name | Susan Kinkead-acree, Md, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1320 Old Chain Bridge Rd, Mc Lean, Virginia |
| Authorized Official Name and Position | Susan Kinkead-acree (PRESIDENT) |
| Authorized Official Contact | 7039926537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kinkead-acree, Md, Pllc 1485 Chain Bridge Rd Suite 204 Mc Lean VA 22101-4501 Ph: (703) 992-6537 | Susan Kinkead-acree, Md, Pllc 1320 Old Chain Bridge Rd Suite 420 Mc Lean VA 22101-3956 Ph: (703) 992-6537 |
| NPI Number | 1790926426 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790926426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0101244394 (Virginia) | Primary |
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