Individual
DR. KEVIN FRICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PARKERS LN STE 200, ALEXANDRIA, VA 22306-3209
(703) 892-6500
(703) 799-5989
Mailing address
2800 S SHIRLINGTON RD STE 1000, ARLINGTON, VA 22206-3614
(703) 892-6500
(703) 521-3415
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101239380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1429314
AETNA HMO
—
01
—
148820100
DEPT OF LABOR ID
—
01
—
2155571
MAMSI ID
—
01
—
239324
ANTHEM ID
—
01
—
25090077
BLUE CROSS BLUE SHIELD ID
—
01
—
259963
KAISER
—
01
—
2683333
UNITED ID
—
01
—
7235819
AETNA ID
—
01
—
763958
NCPPO
—
Enumeration date
01/17/2006
Last updated
03/24/2023
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