Individual
KEVIN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7189
Mailing address
DEPT 829, ALEXANDRIA, VA 22334-0829
(703) 664-7189
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101248859
VA
Other
Enumeration date
08/09/2006
Last updated
12/12/2012
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