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Search › Virginia › 111N00000X

Kody Kettle

NPI 1669129383 · on the registry since 2022

Practice

Address
24805 Pinebrook Rd Ste 314
Chantilly, VA 20152
Phone
(702) 957-3373
Organisation at this address
Seva Medical Group Llc
Dulles Orofacial Surgery
Modaresi & Avin Dds Pllc
Loudoun Medical Group, Pc
Loudoun Medical Group, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-30

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