Individual
KACIE JACKSON SAULTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD, NW, ROOM G-3041, WASHINGTON, DC 20007
(202) 444-1036
(202) 444-5104
Mailing address
3800 RESERVOIR RD, NW, ROOM G-3041, WASHINGTON, DC 20007
(202) 444-1036
(202) 444-5104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D93063
MD
208M00000X
Hospitalist Physician
MD043113
DC
Other
Enumeration date
04/03/2012
Last updated
02/17/2022
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