Kietrsunthorn, Patrick

Kietrsunthorn, Patrick is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 203 , Roanoke VA 24014-2465. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kietrsunthorn, Patrick can be contacted via phone (540) 982-8204.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Ste 203 Roanoke VA 24014-2465
Phone: (540) 982-8204
Fax: (540) 224-1059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X West Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101278611 Virginia

Profile Details

NPI number 1992251227
LBN Legal business name Kietrsunthorn, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated May 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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