Organization
KAZUKO K PRICE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAZUKO KUKITA PRICE MD (PRESIDENT)
(703) 751-3344
Entity
Organization
Contact information
Practice address
4701 KENMORE AVENUE, SUITE 118, ALEXANDRIA, VA 22304-1248
(703) 751-3344
(703) 751-3345
Mailing address
4701 KENMORE AVENUE, SUITE 118, ALEXANDRIA, VA 22304-1248
(703) 751-3344
(703) 751-3345
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101015073
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043401
ANTHEM INC
VA
01
—
2908
CARE FIRST DC
DC
Enumeration date
11/27/2006
Last updated
08/22/2020
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