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Contact Information

KRISTIN PECK
3435 W CARY ST
RICHMOND, VA23221-2726
 Phone: 804-572-8193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
 

Medical Art Specialist/Technologist

246ZA2600X
Indicates primary specialty

NPI Profile & details for KRISTIN PECK · (Female)

NPI # 1427665363
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2020
Last updated 09/24/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 1236000610
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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