Organization
CROZET CHILDRENS HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARKETA KYNCL LEISURE MD (PHYSICIAN)
(434) 823-5439
Entity
Organization
Contact information
Practice address
5674 THREE NOTCHED RD, CROZET, VA 22932-3109
(434) 823-5439
(434) 823-5453
Mailing address
5674 THREE NOTCHED RD, CROZET, VA 22932-3109
(434) 823-5439
(434) 823-5453
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101044383
VA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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