Individual
CRYSTAL LEIGH KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 BAGLEY CIR STE 300, MARION, VA 24354-3140
(276) 783-3751
Mailing address
1177 SIX FARM RD, TAZEWELL, VA 24651-9172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006712
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202006712
—
VA
Enumeration date
02/09/2018
Last updated
02/09/2018
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