NPI 1639739303
Kelley Kuchinov
Practice location
- Address
- 11250 Roger Bacon Dr STE 301, Reston, VA 20190-5219
- Phone
- (209) 789-5788
- Mailing address
- 20120 Bandon Dunes CT, Ashburn, VA 20147-7019
Registered specialties
Art Therapist
Primary
Registry record
- NPI
- 1639739303
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jun 2019
- Record last updated
- 16 Jun 2019
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.