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Individual

DR. BRENDA ROBIN KIESSLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 396-6197
(703) 779-1372
Mailing address
10610 HUNTERS VALLEY RD, VIENNA, VA 22181-3018
(703) 938-9389
(703) 460-9359

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101037093
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5699088
VA
Enumeration date
08/24/2005
Last updated
07/06/2010
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