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Individual

KRISTINA KIERL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2901 TELESTAR CT STE 200, FALLS CHURCH, VA 22042
(703) 573-3494
(703) 573-5353
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173813
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235682014
VA
01
P01747393
RAILROAD MEDICARE
VA
Enumeration date
07/28/2016
Last updated
06/07/2018
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