MARY KACKLEY

ARLINGTON, VA
NPI1285241554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024180229)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
MARY KACKLEY
1635 N GEORGE MASON DR STE 170
ARLINGTON, VA 22205-3633
Phone number: 703-894-3800
Mailing Address
MARY KACKLEY
3040 WILLIAMS DR STE 100
FAIRFAX, VA 22031-4618
Phone number: 703-280-5390