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NPI Code Detail

MEDICARE: DR. KAREN PATRICIA KROTINE OD

MEDICARE:  DR. KAREN PATRICIA KROTINE  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618000398VA

General Provider Information

NPI Number : 1174586630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN PATRICIA KROTINE OD
Provider Business Mailing Address
First Line : 6756 RICHMOND HWY
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-6701
Country : US
Telephone Number : 703-768-1677
Fax Number : 703-765-6483
Provider Business Practice Location Address
First Line : 6756 RICHMOND HWY
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-6701
Country : US
Telephone Number : 703-768-1677
Fax Number : 703-765-6483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 03/03/2011

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Directions to “ DR. KAREN PATRICIA KROTINE OD” Practice Location

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