Individual
MRS. CARRIE GOODMAN KINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
828 HEALTHY WAY STE 350, VIRGINIA BEACH, VA 23462
(757) 705-5265
Mailing address
828 HEALTHY WAY STE 350, VIRGINIA BEACH, VA 23462-7959
(757) 705-5265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006189
VA
Other
Enumeration date
06/25/2018
Last updated
11/05/2019
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