Individual
KYRSTEN LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8626 JAMES CREEK DR, SPRINGFIELD, VA 22152-1518
(703) 623-0097
Mailing address
8626 JAMES CREEK DR, SPRINGFIELD, VA 22152-1518
(703) 623-0097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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