Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Health Service Clinic/Center · Fairfax, VA

NPI number 1114565298 Active

Practice location

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952

Call (703) 934-5700 Map

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1114565298

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1114565298, issued on Dec 19, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Fairfax, VA. The record was last updated on Jul 24, 2025.