Kinetic Primary Care | |
9544 Newbridge Dr Potomac MD 20854-4480 | |
(804) 742-2613 | |
Not Available |
Full Name | Kinetic Primary Care |
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Speciality | General Practice |
Location | 9544 Newbridge Dr, Potomac, Maryland |
Authorized Official Name and Position | Anna Norwood (PRESIDENT) |
Authorized Official Contact | 7034855689 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kinetic Primary Care 9544 Newbridge Dr Potomac MD 20854-4480 Ph: (804) 742-2613 | Kinetic Primary Care 9544 Newbridge Dr Potomac MD 20854-4480 Ph: (804) 742-2613 |
NPI Number | 1528761897 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 05/15/2023 |
Medicare PECOS PAC ID | 5294192779 |
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Medicare Enrollment ID | O20230530001270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528761897 | NPI | - | NPPES |
Provider Name | Marla Jb Spring |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699883827 PECOS PAC ID: 4880662089 Enrollment ID: I20150424001345 |
Provider Name | Johanna Devine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801377304 PECOS PAC ID: 2668717380 Enrollment ID: I20181227000169 |
Provider Name | Anna Norwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306335492 PECOS PAC ID: 7113263872 Enrollment ID: I20190116003979 |
Provider Name | Jill Elizabeth Fritsch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710686290 PECOS PAC ID: 0244698181 Enrollment ID: I20230624000036 |
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