Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN ELLISON, M.D.
ActiveDR. KATHLEEN ELLISON, M.D. is a Dermatology healthcare provider located in FAIRFAX, Virginia. NPI 1134516271 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FAIRFAX, VA
Registration Details
- NPI Number
- 1134516271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2015 (11.371280038063 yrs)
- Last Updated
- Oct 9, 2019
- License
-
0101267527 (VA)
Practice Information
- Address
-
8316 ARLINGTON BLVD STE 400FAIRFAX, VA, 220315216Browse VA providers · Browse ZIP 22031
- Phone
- 7036410083
- Fax
- 7036410085
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| HARRY WILMER WYRE JR. | M.D. | 1821096090 |
| DR. SURAJ S VENNA | MD | 1366433302 |
| DR. KATHY DIEP NGOC TIEU | M.D. | 1811973951 |
| DWANA RASHAD SHABAZZ | M.D. | 1548296817 |
| ALEXANDRA KAZAKIS | MD | 1386736288 |
| JACK MICHAEL COSTA | M.D. | 1144393935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.