Individual
ETHAN CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 CREEKSIDE LN, WINCHESTER, VA 22602-2429
(540) 409-4622
Mailing address
741 FRONT ROYAL PIKE APT 103, WINCHESTER, VA 22602-7346
(607) 425-5026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305216062
VA
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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