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Individual

DR. K A DEYOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1218 KING ST, ALEXANDRIA, VA 22314-2927
(703) 684-0260
(703) 684-0262
Mailing address
1218 KING ST, ALEXANDRIA, VA 22314-2927
(703) 684-0260
(703) 684-0262

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000399
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
237347
ANTHEM BCBS OF VA
VA
Enumeration date
04/16/2007
Last updated
05/19/2008
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