Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101242545 | VA |
N | 111NI0900X | Internist | 0101242545 | VA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101242545 | VA |
NPI | 1104024751 |
---|---|
Provider Name | Kate Kinnaird |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 10/02/2021 |