Mylene Melody Kedrock in Falls Church - Family
Mylene Melody Kedrock - NPI 1528052685
Mylene Melody Kedrock is a Family in Falls Church, Virginia. Mylene Melody Kedrock practices all healthcare services and medical treatments related to Family. The NPI Number for Mylene Melody Kedrock is 1528052685. The last update date is 2023-11-27.
Mylene Melody Kedrock's current location address is 3300 Gallows Rd, Falls Church, Virginia. You can contact this provider via phone number 7037764001 and fax number 7037767113. The mailing address for Mylene Melody Kedrock is 3300 Gallows Rd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mylene Melody Kedrock |
|---|---|
| Address | 3300 Gallows Rd, Falls Church, Virginia |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1528052685 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 3300 Gallows Rd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220423307 |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24165793 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code assigned to Mylene Melody Kedrock by the Centers for Medicare & Medicaid Services?
The Mylene Melody Kedrock has been issued the NPI (National Provider Identifier) 1528052685, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mylene Melody Kedrock is physically located?
The Mylene Melody Kedrock is situated at the following address: 3300 Gallows Rd, Falls Church, VA 220423307.
What is Mylene Melody Kedrock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mylene Melody Kedrock's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Mylene Melody Kedrock receive its 1528052685 assignment from the Centers for Medicare & Medicaid Services?
The Mylene Melody Kedrock was assigned its 1528052685 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details pertaining to Mylene Melody Kedrock last refreshed?
The information related to the Mylene Melody Kedrock, including its address, specialty, and other relevant details, was last updated on 2023-11-27.