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Contact Information

CRYSTAL L KITTISOPIKUL, PA-C
19455 DEERFIELD AVE
SUITE 206
LEESBURG, VA20176
 Phone: 703-858-9608
 Fax: 703-858-9618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRYSTAL L KITTISOPIKUL · (Female)

NPI Number 1508107657
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/13/2013
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110007265
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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