# WHOLEHEALTH MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598225955
- **Authorized official:** DR. KAITLYN BEISECKER-LEVIN MD (PRESIDENT)
- **Authorized official phone:** (434) 305-0501

## Contact information

- **Practice address:** 1800 TIMBERWOOD BLVD STE A, CHARLOTTESVILLE, VA 22911-7544
- **Practice address phone:** (434) 305-0501
- **Practice address fax:** (844) 429-0456
- **Mailing address:** 730 LOCHRIDGE LN, EARLYSVILLE, VA 22936-9640
- **Mailing address phone:** (804) 399-8185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 03/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356557516 | — | PA |
