Provider Demographics
NPI:1629215843
Name:DENNY, KARESS ALANAH (PA)
Entity Type:Individual
Prefix:
First Name:KARESS
Middle Name:ALANAH
Last Name:DENNY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KARESS
Other - Middle Name:
Other - Last Name:DENNY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2800 SHIRLINGTON ROAD
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206
Mailing Address - Country:US
Mailing Address - Phone:703-769-8424
Mailing Address - Fax:703-769-8427
Practice Address - Street 1:2800 SHIRLINGTON ROAD
Practice Address - Street 2:11TH FLOOR
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206
Practice Address - Country:US
Practice Address - Phone:703-769-8424
Practice Address - Fax:703-769-8427
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012829363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant