Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101271603 | VA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101271603 | VA |
NPI | 1518317668 |
---|---|
Provider Name | Dr. Kaitlyn Marie Hurst |
First Address | Falls Church, VA 22042-1206 |
Second Address | Falls Church, VA 22042-1206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 13/09/2021 |