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Individual

KAITLYN DENBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
(703) 435-6604
Mailing address
10166 PORTSMOUTH RD APT 3, MANASSAS, VA 20109-8014
(631) 388-4254

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002766
VA
2255A2300X
Athletic Trainer
AT001389
WV

Other

Enumeration date
04/26/2016
Last updated
07/21/2022
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