Individual
MRS. STEPHANIE KWASNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8040 W BROAD ST, RICHMOND, VA 23294-4218
(804) 346-0927
Mailing address
423 FORTRESS BOULEVARD, MORGANTOWN, WV 26508
(304) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001816
VA
363A00000X
Physician Assistant
103991
NC
Other
Enumeration date
06/26/2006
Last updated
04/03/2024
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