Kittisopikul, Crystal L

Kittisopikul, Crystal L is an individual health care provider with primary practice located at 19455 Deerfield Ave Suite 206, Leesburg VA 20176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kittisopikul, Crystal L can be contacted via phone (703) 858-9608.

Contact Information

Primary practice address
19455 Deerfield Ave Suite 206 Leesburg VA 20176
Phone: (703) 858-9608
Fax: (703) 858-9618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110007265 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Texas

Profile Details

NPI number 1508107657
LBN Legal business name Kittisopikul, Crystal L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Jun 6th, 2024 - about 5 months 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.

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