Organization · Type 2 NPI

Loudoun Medical Group, PC

Urgent Care Clinic/Center · Kingstowne, VA

NPI number 1356907612 Active

Practice location

5901 Kingstowne Village Parkway, Suite 300
Kingstowne, VA 22315-5883

Call (571) 384-6304 Map

Fax (571) 384-6309

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Urgent Care Clinic/Center Primary	261QU0200X	None listed

Urgent Care Clinic/Center: Definition to come...

Another provider at this address

Loudoun Medical Group, PCInternal Medicine Physician Kingstowne, VA NPI 1841560299

NPI record

NPI: 1356907612
Entity type: Organization (Type 2)
Issued: May 13, 2019
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Kingstowne Urgent Care · doing business as
Kingstowne Urgent Care · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6010

Verify this record

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About NPI 1356907612

Loudoun Medical Group, PC's National Provider Identifier is 1356907612, issued on May 13, 2019. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Kingstowne, VA. The record was last updated on Aug 18, 2023.