Individual
KIM KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13512 LITTLE BROOK DR, CLIFTON, VA 20124-1083
(703) 830-0313
Mailing address
13512 LITTLE BROOK DR, CLIFTON, VA 20124-1083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604012
VA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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