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Individual

MS. KRISTINA ANN KINSELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1975 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0167
(757) 507-8610
Mailing address
1975 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0167
(757) 507-8610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06224
NC
363A00000X
Physician Assistant
Primary
0110004892
VA
363A00000X
Physician Assistant
014895
NY

Other

Enumeration date
07/25/2011
Last updated
05/30/2024
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