Individual
DR. KEITH CHRISTOPHER KOCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 645-2819
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 645-2819
(703) 776-3503
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101268051
VA
2080P0203X
Pediatric Critical Care Medicine Physician
2000-00855
NC
2080P0203X
Pediatric Critical Care Medicine Physician
ME126898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016871100
—
FL
05
—
89126Y3
—
NC
Enumeration date
10/16/2006
Last updated
05/09/2023
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