Janet Kedzie, NP-C | |
3921 Prosperity Ave, Fairfax, VA 22031-3329 | |
(703) 216-1927 | |
Not Available |
Full Name | Janet Kedzie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3921 Prosperity Ave, 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 |
---|---|---|---|
1023484680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024172783 (Virginia) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275886418 PECOS PAC ID: 2466351093 Enrollment ID: O20121219000193 |
Mailing Address | Practice Location Address |
---|---|
Janet Kedzie, NP-C 6417 Eastleigh Ct, Springfield, VA 22152-2425 Ph: (703) 216-1927 | Janet Kedzie, NP-C 3921 Prosperity Ave, Fairfax, VA 22031-3329 Ph: (703) 216-1927 |
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