Individual
KERRI KUSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2942 HUNTER MILL RD, SUITE 102, OAKTON, VA 22124-1762
(703) 658-7060
(703) 658-3150
Mailing address
7611 LITTLE RIVER TPKE, SUITE 108 W, ANNANDALE, VA 22003-2611
(703) 658-7060
(703) 658-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101242631
VA
Other
Enumeration date
06/07/2006
Last updated
11/09/2007
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