MEDICARE: KATHLEEN N PRICE 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
1	207RR0500X	Rheumatology Physician	0101037356	VA

General Provider Information

NPI Number	:	1407889249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN N PRICE MD

Provider Business Mailing Address
First Line	:	6060 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2943
Country	:	US
Telephone Number	:	703-533-2222
Fax Number	:	703-533-0314

Provider Business Practice Location Address
First Line	:	6060 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2943
Country	:	US
Telephone Number	:	703-533-2222
Fax Number	:	703-533-0314

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	02/09/2012

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