Individual provider · Type 1 NPI

Casey Kwak, NP

Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA

NPI number 1134830425 Active

Practice location

3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030-2709

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024185947 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1134830425

Casey Kwak, NP's National Provider Identifier is 1134830425, issued on Dec 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfax, VA. The record was last updated on Dec 29, 2024.