GENERATIONS FAMILY MEDICINE PC

RESTON, VA
NPI1124239470
Doing Business AsGENERATIONS FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactKEVIN JOHN KELLEHER
Medical Director
703-464-0686
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101054571)
Enumeration Date2007-05-25
Last Update Date2013-01-04
Business Address
GENERATIONS FAMILY MEDICINE PC
12040 S LAKES DR STE 190
RESTON, VA 20191-1246
Phone number: 703-464-0686
Mailing Address
GENERATIONS FAMILY MEDICINE PC
12040 S LAKES DR SUITE 207
RESTON, VA 20191-1246
Phone number: 703-464-0686