Individual
KOHL S. KERSHISNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.
Contact information
Practice address
5690 THREE NOTCHD RD, SUITE 107, CROZET, VA 22932-3172
(434) 823-7628
(434) 823-7681
Mailing address
5690 THREE NOTCHD RD, SUITE 107, CROZET, VA 22932-3172
(434) 823-7628
(434) 823-7681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205789
VA
Other
Enumeration date
08/22/2006
Last updated
03/15/2010
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