Individual
MS. KRISTIN MATTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(301) 807-8132
Mailing address
1831 WIEHLE AVE, RESTON, VA 20190-5266
(703) 709-1114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005461
VA
363A00000X
Physician Assistant
PA031498
DC
363AM0700X
Medical Physician Assistant
Primary
PA031498
DC
Other
Enumeration date
07/28/2016
Last updated
02/27/2024
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