Individual
BIANCA KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(571) 581-1771
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101284134
VA
2086S0129X
Vascular Surgery Physician
Primary
0101284134
VA
Other
Enumeration date
03/26/2014
Last updated
08/12/2025
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