Individual
KYLE KOHNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11800 SUNRISE VALLEY DR STE 100, RESTON, VA 20191-5309
(703) 709-1116
Mailing address
4501 LAKE ANNA CT, SPOTSYLVANIA, VA 22551-6396
(540) 454-5590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12191
SC
2251X0800X
Orthopedic Physical Therapist
Primary
2305214111
VA
Other
Enumeration date
01/12/2021
Last updated
01/25/2024
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