KELLY DEAN BIRT

LYNCHBURG, VA
NPI1821016890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001545)
Enumeration Date2006-07-18
Last Update Date2007-10-29
Business Address
KELLY DEAN BIRT PA
113 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-237-4004
Mailing Address
KELLY DEAN BIRT PA
113 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-237-4004
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