Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly B. Fogarty, PAC

Individual provider Medical Physician Assistant · NPI 1053405027

Mrs. Kimberly B. Fogarty, PAC is a Medical Physician Assistant in Washington, District of Columbia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2440 M St NW Ste 205
Washington, DC 20037-1404
Phone: (202) 955-0003
Fax: (866) 457-0397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110001588 (VA)

Record details

NPI number1053405027
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 7, 2023

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