King Street Wellness Llc | |
4680 King St Alexandria VA 22302-1215 | |
(540) 533-7337 | |
Not Available |
Full Name | King Street Wellness Llc |
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Speciality | Clinic/Center |
Location | 4680 King St, Alexandria, Virginia |
Authorized Official Name and Position | Rahel Yirga (OWNER) |
Authorized Official Contact | 5405337337 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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King Street Wellness Llc 4680 King St Alexandria VA 22302-1215 Ph: () - | King Street Wellness Llc 4680 King St Alexandria VA 22302-1215 Ph: (540) 533-7337 |
NPI Number | 1619723913 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 3375088610 |
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Medicare Enrollment ID | O20240711001433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619723913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Rahel G Yirga |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437121910 PECOS PAC ID: 2365536000 Enrollment ID: I20110404000080 |
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