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Individual

KRISTEN QUMSIEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1793
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(708) 634-4602
(630) 495-1770

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003252
VA

Other

Enumeration date
03/08/2010
Last updated
06/03/2021
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