Organization
KINDER LIFE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MI HEI CHUNG CHO M.D. (OWNER)
(703) 766-1716
Entity
Organization
Contact information
Practice address
13890 BRADDOCK RD, SUITE 205, CENTREVILLE, VA 20121-2435
(703) 766-1716
(703) 991-6166
Mailing address
13890 BRADDOCK RD, SUITE 205, CENTREVILLE, VA 20121-2435
(703) 766-1716
(703) 991-6166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101253646
VA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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