Individual
KYLE STAWITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1793
(757) 473-8400
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102208053
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
10/02/2023
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