Organization
KST BEAUTY & BODY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA WILLIAMS (BILLING/CREDENTIALING DIRECTOR)
(757) 608-9255
Entity
Organization
Contact information
Practice address
1233 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
(917) 856-6295
Mailing address
1233 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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