KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. is a health service clinic center in Fairfax, VA. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. NPI is 1114565298. The provider is registered as an organization entity type.
The provider Is Doing Business As Fair Oaks Medical Center Dpp.
The provider's business location address is:
12255 FAIR LAKES PKWY
FAIRFAX, VA
ZIP 22033-952
Phone: (703) 934-5700
The provider's authorized official is Joseph T Butz .
The authorized official title is Chief Operating Officer and has the following contact phone number (301) 816-5867.
The enumeration date for this NPI number is 12/19/2019 and was last updated on 5/26/2021.