KATHLEEN ANNE KUSSART

VIRGINIA BEACH, VA
NPI1427272780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000872)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- KATHLEEN ANNE KUSSART ATC
4960 HAYGOOD RD
VIRGINIA BEACH, VA 23455-5236
Phone number: 757-473-5050
Mailing Address
-- KATHLEEN ANNE KUSSART ATC
566 VIRGINIAN DR
NORFOLK, VA 23505-4243
Phone number: