NPI 1801347513

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 Wallin
Title: Coowner
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: 1801347513
Entity type: Organization
NPI issued: 18 Oct 2016
Record last updated: 18 Oct 2016

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.