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Individual

MEENA R KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4601 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1131
(202) 574-5700
Mailing address
10304 DUNN MEADOW RD, VIENNA, VA 22182-1361
(703) 757-9564

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN961317
DC
363LF0000X
Family Nurse Practitioner
AC000379
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033933600
DC
Enumeration date
07/17/2006
Last updated
01/15/2022
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