Individual
MR. KEVIN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
3200 GALLOWS ROAD, FALLS CHURCH, VA 22042
(678) 451-3433
Mailing address
3200 STONE RD SW, ATLANTA, GA 30331-2900
(770) 427-5114
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3134
GA
246ZS0410X
Surgical Technologist
CERT3134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582625656
TAX ID
GA
Enumeration date
11/05/2007
Last updated
01/27/2012
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