Individual
KYLIE PERKINS RISENDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 MEDICAL CENTER CIR STE 103, FISHERSVILLE, VA 22939-2273
(540) 245-7400
(540) 245-7401
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008477
VA
363A00000X
Physician Assistant
2040
WV
Other
Enumeration date
08/19/2013
Last updated
05/12/2025
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