Individual
WILLIAM LOGAN KANTSIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1959 FOOTHILLS RD, CALLAWAY, VA 24067-5453
(540) 921-7813
Mailing address
1959 FOOTHILLS RD, CALLAWAY, VA 24067-5453
(540) 921-7813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001285350
VA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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