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Contact Information

COMPLETE CARE FOR KIDS
14418 FOUNTAIN VIEW DRIVE
MIDLOTHIAN, VA23112
 Phone: 804-370-6524
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COMPLETE CARE FOR KIDS · (Female)

NPI # 1598356750
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2021
Last updated 02/02/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 1659385987
  • VA Medicaid 1932318912
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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