Individual
MISS KIARA CAMILA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 363-4133
Mailing address
1810 BROADWAY ST UNIT 102, LYNCHBURG, VA 24501-5605
(757) 748-9035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110011293
VA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
01/19/2026
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