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Individual

KRISTIE F MCDOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11131 JOURNAL PARKWAY, KING GEORGE, VA 22485
(540) 775-8009
Mailing address
2602 MELISSA CT, FREDERICKSBURG, VA 22408-8069
(540) 899-8877
(540) 735-8097

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001953
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010284872
VA
01
P00237442
RAILROAD MEDICARE
Enumeration date
06/09/2006
Last updated
04/20/2009
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