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NPI Code Detail

MEDICARE: DR. CAREN KIESWETTER MD

MEDICARE:  DR. CAREN  KIESWETTER  MD
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
1207V00000XObstetrics & Gynecology Physician0101056552VA

General Provider Information

NPI Number : 1952479479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAREN KIESWETTER MD
Provider Business Mailing Address
First Line : 2041 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-2226
Country : US
Telephone Number : 703-527-3880
Fax Number :
Provider Business Practice Location Address
First Line : 2041 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-2226
Country : US
Telephone Number : 703-527-3880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CAREN KIESWETTER MD” Practice Location

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