Individual
DR. KYNDAL ANN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 EDGEMONT RD, WYTHEVILLE, VA 24382-4337
(276) 223-0558
Mailing address
100 EDGEMONT RD, WYTHEVILLE, VA 24382-4337
(276) 223-0558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054837
VA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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