Individual
LAURETTA A KAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6040
Mailing address
206 AUTUMN OLIVE WAY, STERLING, VA 20164-2801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059047
PA
363A00000X
Physician Assistant
PA200001242
DC
Other
Enumeration date
06/14/2017
Last updated
02/20/2025
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