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Individual

MRS. KRISTIN EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC-L

Contact information

Practice address
700 24TH ST, FT GREGGADAMS, VA 23801-1716
(804) 734-5300
(877) 874-1008
Mailing address
KENNER ARMY HEALTH CLINIC, 700 24TH ST, FT GREGG ADAMS, VA 23801
(804) 734-5300
(877) 874-1008

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2255A2300X
Athletic Trainer
070202128
VA

Other

Enumeration date
01/10/2025
Last updated
03/04/2025
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