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Individual

MRS. KYLE WINDSOR DEBENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(703) 938-5300
(703) 242-0726
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101266146
VA
207P00000X
Emergency Medicine Physician
41491
MT
207P00000X
Emergency Medicine Physician
5578A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106133017
WY
Enumeration date
07/01/2006
Last updated
05/05/2026
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