Individual
KAILA KRISTEN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
41816 FENWAY CIR, ASHBURN, VA 20148-8069
(703) 743-3999
Mailing address
3443 COURTLAND RD NW, ROANOKE, VA 24012-3937
(540) 819-9965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001280055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001280055
VIRGINIA NP LICENSE
VA
Enumeration date
11/16/2022
Last updated
11/16/2022
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