KINSTON JACK CARSON

LYNCHBURG, VA
NPI1083195382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
KINSTON JACK CARSON
263 BELL ST
LYNCHBURG, VA 24501-6023
Phone number: 804-296-8464
Mailing Address
KINSTON JACK CARSON
263 BELL ST
LYNCHBURG, VA 24501-6023
Phone number: 804-296-8464