Provider Demographics
NPI:1023291192
Name:KINNAIRD, ALEXANDER N (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:N
Last Name:KINNAIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 EDGEMOOR LN
Mailing Address - Street 2:APT 802
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5342
Mailing Address - Country:US
Mailing Address - Phone:706-836-2812
Mailing Address - Fax:
Practice Address - Street 1:1201 SEVEN LOCKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-2931
Practice Address - Country:US
Practice Address - Phone:301-652-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine