Individual
KYNDAHL DANIELLE BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2425 TAYLOR RD, CHESAPEAKE, VA 23321-2201
(757) 215-1800
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205897
VA
Other
Enumeration date
03/29/2018
Last updated
02/11/2021
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