Kiessling, Brenda Robin
Kiessling, Brenda Robin is an individual health care provider with primary practice located at 2900 Telestar Ct , Falls Church VA 22042-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kiessling, Brenda Robin can be contacted via phone (703) 396-6197.Contact Information
Primary practice address
2900 Telestar Ct
Falls Church VA 22042-1206
Phone: (703) 396-6197
Fax: (703) 779-1372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 101037093 | Virginia |
Profile Details
| NPI number | 1770576878 |
|---|---|
| LBN Legal business name | Kiessling, Brenda Robin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 6th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770576878 | NPPES |
| Virginia | MEDICAID | 5699088 |
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