Individual
KENDRA V MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8375 LEESBURG PIKE, VIENNA, VA 22182-2402
(571) 889-3237
(571) 889-3238
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007374
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/20/2020
Last updated
05/06/2026
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