NPI 1013343110

Kid Koncepts,llc

Organisation Early Intervention Provider Agency Etlan, VA

Practice location

Address: 2861 S F T Valley Rd, Etlan, VA 22719-2000
Phone: (703) 346-7243

Authorised official

Name: Christine M Wallin
Title: Developmental Consultant
Phone: (703) 346-7243

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 0001092526 (VA)

Other Early Intervention Provider Agency providers in Virginia →

Registry record

NPI: 1013343110
Entity type: Organization
NPI issued: 20 Sep 2013
Record last updated: 20 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.