Individual
KAITLYN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19465 DEERFIELD AVENUE, SUITE 401, LEESBURG, VA 20176-1707
(703) 723-5700
Mailing address
224-D CORNWALL STREET NW, SUITE 204, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164949665
—
VA
05
—
30016074600002
—
VA
Enumeration date
08/25/2017
Last updated
12/12/2023
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