Individual
KIRSTY QYNLYN DE WIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009752
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/07/2023
Last updated
07/15/2024
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