Individual
DENISE KIRKLEY-CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 S PICKETT ST, SUITE 204, ALEXANDRIA, VA 22304-7207
(703) 921-1552
Mailing address
PO BOX 150356, ALEXANDRIA, VA 22315-0356
(703) 921-1552
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102278790
—
VA
05
—
0164376201
—
MD
Enumeration date
07/30/2015
Last updated
08/03/2015
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