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Organization

KINETIC PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA NORWOOD CRNP (PRESIDENT)
(703) 485-5689
Entity
Organization

Contact information

Practice address
9544 NEWBRIDGE DR, POTOMAC, MD 20854-4480
(804) 742-2613
Mailing address
9544 NEWBRIDGE DR, POTOMAC, MD 20854-4480
(804) 742-2613

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
363LA2200X
Adult Health Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
03/24/2023
Last updated
05/15/2023
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