Mrs Kimberly B Fogarty, PAC | |
2440 M St Nw, Suite 205, Washington, DC 20037-1404 | |
(202) 955-0003 | |
(866) 457-0397 |
Full Name | Mrs Kimberly B Fogarty |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 2440 M St Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053405027 | NPI | - | NPPES |
145453 | Other | NC | LICENSE |
0110001588 | Other | VA | LICENSE |
PA030663 | Other | DC | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 0110001588 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly B Fogarty, PAC 2440 M St Nw, Suite 205, Washington, DC 20037-1404 Ph: (202) 955-0003 | Mrs Kimberly B Fogarty, PAC 2440 M St Nw, Suite 205, Washington, DC 20037-1404 Ph: (202) 955-0003 |
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