# KAZUKO K PRICE MD LTD

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

## Provider details

- **NPI number:** 1699841148
- **Authorized official:** KAZUKO KUKITA PRICE MD (PRESIDENT)
- **Authorized official phone:** (703) 751-3344

## Contact information

- **Practice address:** 4701 KENMORE AVENUE, SUITE 118, ALEXANDRIA, VA 22304-1248
- **Practice address phone:** (703) 751-3344
- **Practice address fax:** (703) 751-3345
- **Mailing address:** 4701 KENMORE AVENUE, SUITE 118, ALEXANDRIA, VA 22304-1248
- **Mailing address phone:** (703) 751-3344
- **Mailing address fax:** (703) 751-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0101015073 | VA | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 043401 | ANTHEM INC | VA |
| 01 | — | 2908 | CARE FIRST DC | DC |