| Healthy Kids Pediatric Center, P.c. | |
|
44075 Pipeline Plz Suite 210 Ashburn VA 20147-5881 | |
| (703) 858-0121 | |
| (703) 858-0710 |
| Full Name | Healthy Kids Pediatric Center, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 44075 Pipeline Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Resa E Davis (PRESIDENT) |
| Authorized Official Contact | 7038580121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Kids Pediatric Center, P.c. 44075 Pipeline Plz Suite 210 Ashburn VA 20147-5881 Ph: (703) 858-0121 | Healthy Kids Pediatric Center, P.c. 44075 Pipeline Plz Suite 210 Ashburn VA 20147-5881 Ph: (703) 858-0121 |
| NPI Number | 1619184132 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619184132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101234951 (Virginia) | Primary |
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