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NPI Code Detail

MEDICARE: KAY WAUD M.D.

MEDICARE: KAY WAUD M.D.
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
1207VE0102XReproductive Endocrinology Physician0116021739VA

General Provider Information

NPI Number : 1144454166
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY WAUD M.D.
Provider Business Mailing Address
First Line : 4040 FAIRFAX DR
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1613
Country : US
Telephone Number : 703-920-3890
Fax Number :
Provider Business Practice Location Address
First Line : 4040 FAIRFAX DR
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1613
Country : US
Telephone Number : 703-920-3890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 03/20/2017

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Directions to “ KAY WAUD M.D.” Practice Location

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