Individual
KRISTEN KETURAH BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1730 AMHERST ST, WINCHESTER, VA 22601-2807
(540) 773-8169
(540) 773-8170
Mailing address
8205 CORNITH DR, RICHMOND, VA 23227-1419
(804) 310-6520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008718
VA
Other
Enumeration date
08/01/2022
Last updated
08/11/2022
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