Provider Demographics
NPI:1326878406
Name:ZALAR, KAITLYN MARIE
Entity type:Individual
Prefix:MS
First Name:KAITLYN
Middle Name:MARIE
Last Name:ZALAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40483 OCONNORS CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-7521
Mailing Address - Country:US
Mailing Address - Phone:540-446-8042
Mailing Address - Fax:
Practice Address - Street 1:40483 OCONNORS CIR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-7521
Practice Address - Country:US
Practice Address - Phone:540-446-8042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant