Individual
DR. WAYLAN ABLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 LOISDALE CT, KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER, SPRINGFIELD, VA 22150-1826
(703) 922-1000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101039629
VA
208600000X
Surgery Physician
D0033962
MD
208600000X
Surgery Physician
MD15261
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546538YA9H
MEDICARE ID TYPE UNSPECIFIED
DC
Enumeration date
11/28/2006
Last updated
10/24/2011
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