Provider Demographics
NPI:1386643385
Name:DREGER, KATHRYN ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ARNOLD
Last Name:DREGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-276-0630
Mailing Address - Fax:703-527-5241
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 306
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-276-0630
Practice Address - Fax:703-527-5241
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5874319Medicaid
VA5874319Medicaid
H57878Medicare UPIN