NPI 1205355468

Kortney Jamal Richardson Readus

Practitioner Surgical Assistant Fairfax, VA

Practice location

Address: 10332 Main St # 344, Fairfax, VA 22030-2410
Phone: (815) 272-6652

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1205355468
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2017
Record last updated: 19 Sep 2017

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.