Individual
DR. KANITTA CHAROENSIRI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
SCHIFFERT HEALTH CENTER, 213 MCCOMAS HALL, BLACKSBURG, VA 24061-0001
(540) 231-5313
Mailing address
3440 BELAIRE DR, BLACKSBURG, VA 24060-8683
(540) 961-9395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201672
VA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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