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Individual

JESSICA KANDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 E. MARSHALL ST, POB 980146, RICHMOND, VA 23298-0146
(804) 628-4368
Mailing address
1250 E. MARSHALL ST, POB 980257, RICHMOND, VA 23298-0257

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101261359
VA
207Y00000X
Otolaryngology Physician
0116029063
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2015
Last updated
01/24/2021
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