Provider Demographics
NPI:1356557516
Name:BEISECKER-LEVIN, KAITLYN ANNE (MD)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ANNE
Last Name:BEISECKER-LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1450 SACHEM PL UNIT 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2554
Mailing Address - Country:US
Mailing Address - Phone:434-973-9744
Mailing Address - Fax:434-973-9790
Practice Address - Street 1:1450 SACHEM PL UNIT 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2554
Practice Address - Country:US
Practice Address - Phone:434-973-9744
Practice Address - Fax:434-973-9790
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101246861207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine