Individual
DR. KIYANDA NYREE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 HOSPITAL CENTER BLVD STE 201, STAFFORD, VA 22554-6203
(540) 374-3212
(540) 374-3224
Mailing address
2300 FALL HILL AVE STE 509, FREDERICKSBURG, VA 22401-3343
(540) 741-2277
(540) 741-1029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101252582
VA
208C00000X
Colon & Rectal Surgery Physician
0101252582
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548419419
—
VA
Enumeration date
09/15/2008
Last updated
03/17/2018
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