Individual
KIRIN PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9000
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/08/2023
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