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PATRICK KIETRSUNTHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101278611
VA
390200000X
Student in an Organized Health Care Education/Training Program
WV

Other

Enumeration date
08/28/2016
Last updated
05/04/2023
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