Individual
KATHLEEN ANNE KUSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4960 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5236
(757) 473-5050
(757) 473-5123
Mailing address
566 VIRGINIAN DR, NORFOLK, VA 23505-4243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000872
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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