Individual
KINYA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 FAIRY STREET EXT, MARTINSVILLE, VA 24112-1913
(276) 201-1647
Mailing address
314 FAIRY STREET EXT, MARTINSVILLE, VA 24112-1913
(276) 201-1647
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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