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Individual

KIERSTIN RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(540) 498-4000
Mailing address
1200 PRINCE EDWARD ST, FREDERICKSBURG, VA 22401-3766
(540) 621-2856

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006571
VA

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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