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General NPI Number Information
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NPI Number | 1780168294
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Entity Type | Individual
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Provider Name | KATHRYN MARGARET KEARNEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1625 N GEORGE MASON DR STE 288
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City | ARLINGTON
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State | VA
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Zip | 22205-3683
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Country | US
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Telephone | 703-558-6491
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 SPRING LN
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City | FALLS CHURCH
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State | VA
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Zip | 22041-2609
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Country | US
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Telephone | 540-536-5100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110007989
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License Number State | VA
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