Organization
KIDS KIN N CAREGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY L DIAL PHD (EXECUTIVE DIRECTOR)
(757) 434-5162
Entity
Organization
Contact information
Practice address
6300 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2827
(757) 434-5162
Mailing address
2085 LYNNHAVEN PKWY STE 106-315, VIRGINIA BEACH, VA 23456-1497
(757) 434-5162
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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