Individual
DR. REBECCA M KIRALY-QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13841 HULL STREET ROAD, MIDLOTHIAN, VA 23112-2506
(804) 739-7000
(804) 739-7589
Mailing address
13841 HULL STREET ROAD, MIDLOTHIAN, VA 23112-2506
(804) 739-7000
(804) 739-7589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000109
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040367
ANTHEM
VA
01
—
2200090
UHC
—
01
—
410028623
RR MEDICARE
—
Enumeration date
09/25/2006
Last updated
06/29/2015
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