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Organization

KID KONCEPTS,LLC

Active
Parent organization
KID KONCEPTS,LLC
Other names
Early Intervention Partnerships
Organization subpart
Yes

Provider details

NPI number
Legal business name
KID KONCEPTS,LLC
Authorized official
DR. CHRISTINE WALLIN RN (COOWNER)
(703) 346-7243
Entity
Organization

Contact information

Practice address
2861 S F T VALLEY RD, ETLAN, VA 22719-2000
(703) 346-7243
Mailing address
2861 S F T VALLEY RD, ETLAN, VA 22719-2000
(703) 346-7243

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0001092526
VA

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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