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Individual

AMANDA LEIGH KERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1635 N GEORGE MASON DR STE 2D, ARLINGTON, VA 22205-3601
(703) 558-6173
Mailing address
16 LINDEN HILL WAY SW, LEESBURG, VA 20175-5030
(202) 368-2222

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001185515
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169467
VA

Other

Enumeration date
05/18/2011
Last updated
12/22/2020
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