Kittisopikul, Crystal L
Kittisopikul, Crystal L is an individual health care provider with primary practice located at 19455 Deerfield Ave Suite 206, Leesburg VA 20176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kittisopikul, Crystal L can be contacted via phone (703) 858-9608.Contact Information
Primary practice address
19455 Deerfield Ave Suite 206
Leesburg VA 20176
Phone: (703) 858-9608
Fax: (703) 858-9618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110007265 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Texas |
Profile Details
| NPI number | 1508107657 |
|---|---|
| LBN Legal business name | Kittisopikul, Crystal L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2013 |
| Last updated | Jun 6th, 2024 - about last year |
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.
Popular Providers
-
Stabley, Christine Catherine
19441 Golf Vista Plaza Suite 230 & 310 , Leesburg VA 20176-8272 -
Leger, Gabrielle La Porta
19450 Deerfield Ave Ste 100 , Leesburg VA 20176-6821 -
Boardman, Kelly Ashley
19415 Deerfield Ave Suite 213, Leesburg VA 20176-8452 -
Muntzer, Laura A
44035 Riverside Pkwy #400, Leesburg VA 20176-8260 -
Duhaime, Angela
211 Gibson Street, Nw, Suite 215 , Leesburg VA 20176-2115 -
Simms, Jessica Kelly
19415 Deerfield Ave Ste 314 , Leesburg VA 20176-8472 -
Stevens, Nathaniel A
44035 Riverside Pkwy Suite 450, Leesburg VA 20176-8260 -
Godfrey, Ellen T.
44084 Riverside Parkway, Suite 300 , Leesburg VA 20176-5102