KEVIN RYAN FREE PA-C NPI 1952664799

NPI Information

NPI: 1952664799
Provider Name: KEVIN RYAN FREE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3930 WALNUT ST STE 101
FAIRFAX, VA
ZIP 22030
Phone: (703) 246-9246
Get Directions

Kevin Ryan Free, PA-C is a medical physician assistant in Fairfax, VA with 12 years of experience. Kevin Ryan Free, PA-C NPI is 1952664799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3930 WALNUT ST STE 101
FAIRFAX, VA
ZIP 22030-750
Phone: (703) 246-9246
Fax: (703) 246-9257

The NPI 1952664799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C04779	MARYLAND	No
2	363AM0700X	Physician Assistant	Medical	0110009144	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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