Individual provider · Type 1 NPI
Kimberly B. Fogarty, PAC
Medical Physician Assistant · Washington, DC
NPI number
1053405027
Active
Practice location
2440 M St NW, Suite 205
Washington, DC 20037-1404
Fax (866) 457-0397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110001588 (VA) |
Medical Physician Assistant: Definition to come...
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About NPI 1053405027
Kimberly B. Fogarty, PAC's National Provider Identifier is 1053405027, issued on Oct 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Mar 7, 2023.