Individual
KAITLYN DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
PO BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Mailing address
PO BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
0102209361
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
06/15/2025
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