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Individual

DR. NELLIE O. KAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
Mailing address
12207 JONATHONS GLEN WAY, HERNDON, VA 20170-2352
(703) 670-1313

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101043598
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010099242
VA
Enumeration date
06/02/2006
Last updated
07/08/2007
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