Individual
RACHEL BROOKE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 GALLOWS ROAD, FALLS CHURCH, VA 22042-4704
(703) 776-4001
(703) 776-7113
Mailing address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192-4704
(703) 580-0181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003902
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/02/2012
Last updated
10/14/2019
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