Healthcare Provider Details

I. General information

NPI: 1417096249
Provider Name (Legal Business Name): KAPLAN CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6829 ELM ST SUITE 300
MC LEAN VA
22101-3884
US

IV. Provider business mailing address

6829 ELM ST SUITE 300
MC LEAN VA
22101-3884
US

V. Phone/Fax

Practice location:
  • Phone: 703-532-4892
  • Fax: 703-237-3105
Mailing address:
  • Phone: 703-532-4892
  • Fax: 703-237-3105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY E. KAPLAN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 703-532-4892