Provider Demographics
NPI:1487883922
Name:VAN AALTEN, KATHLEEN M (MD)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:VAN AALTEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10 CENTER DRIVE BLD. 10-CRC, 5-5332
Mailing Address - Street 2:NATIONAL INSTITUTE OF HEALTH / NHLBI
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:301-496-2634
Mailing Address - Fax:301-402-0888
Practice Address - Street 1:10 CENTER DRIVE BLD. 10-CRC, 5-5332
Practice Address - Street 2:NATIONAL INSTITUTE OF HEALTH / NHLBI
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-496-2634
Practice Address - Fax:301-402-0888
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0016073207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease