Kevin L Glass in Fairfax - Critical Care Medicine

Kevin L Glass - NPI 1417959743

Kevin L Glass is a Critical Care Medicine in Fairfax, Virginia. Kevin L Glass practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Kevin L Glass is 1417959743. The last update date is 2008-12-05.

Kevin L Glass's current location address is 3650 Joseph Siewick Dr, Fairfax, Virginia. You can contact this provider via phone number 7033918804 and fax number 7033915659. The mailing address for Kevin L Glass is 3650 Joseph Siewick Dr, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin L Glass
Address 3650 Joseph Siewick Dr, Fairfax, Virginia
Phone Number 7033918804
Fax Number 7033915659
Sole Proprietor N
Credentials M..

NPI Number Detail

NPI Number 1417959743
Provider Enumeration Date 2005-05-31
Last Updated Date 2008-12-05

Provider Mailing Address Detail

Address 3650 Joseph Siewick Dr
City Fairfax
State Virginia (VA)
Post Code 2203317150
Phone Number 7033918804
Fax Number 7033915659

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 101232697
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5872278 VA --

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FAQs about Kevin L Glass

What is the unique 10-digit identifier code assigned to Kevin L Glass by the Centers for Medicare & Medicaid Services?

The Kevin L Glass has been issued the NPI (National Provider Identifier) 1417959743 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kevin L Glass is physically located?

The Kevin L Glass is physically situated at the following address: 3650 Joseph Siewick Dr, Fairfax, VA, 2203317150.

What is Kevin L Glass's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin L Glass is Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 207Rc0200X.

When was the Kevin L Glass's 1417959743 issued?

The Kevin L Glass's 1417959743 was issued on 2005-05-31.

When was the information pertaining to Kevin L Glass most recently updated or revised?

The details related to Kevin L Glass, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-05.

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