Kathleen Elizabeth Fraser, L.AC., DIPL. AC.

Individual provider Active NPI Acupuncturist · Middleburg, VA

NPI 1124267349 · NPPES record last updated Nov 7, 2023

Key facts

NPI
1124267349
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
0121000451 (VA)
Practice address
112 W Washington St Ste 202
Middleburg, VA 20117-2698
Phone
(703) 232-2025
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0121000451VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Elizabeth Fraser Acupuncturist Current
since Oct 29, 2023
Accepting new patients

Locations

112 W Washington St
Ste 202
Middleburg, VA 20117
Phone (703) 232-2025

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000451 VA Yes

Addresses

Primary practice location

112 W Washington St Ste 202
Middleburg, VA 20117-2698

Mailing address

PO Box 1934
Middleburg, VA 20118-1934
Phone (703) 232-2025

Other providers in Middleburg, VA

All providers in Middleburg, VA · Acupuncturist in Virginia

Sources for this page

Verify at the official NPI Registry.