Search › Virginia › 1041C0700X
Kenyona Lane
NPI 1649464348 · on the registry since 2007
Practice
- Address
- 14950 Potomac Heights Pl Apt 204
Woodbridge, VA 22191 - Phone
- (704) 577-4576
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia