Individual
KEVIN JOSEPH MANEFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6355 WALKER LN STE 401, ALEXANDRIA, VA 22310-3250
(703) 924-2100
Mailing address
1200 N NASH ST APT 232, ARLINGTON, VA 22209-3626
(858) 888-5591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-008478
VA
363A00000X
Physician Assistant
C0008019
MD
Other
Enumeration date
07/02/2021
Last updated
03/26/2022
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