| Kwi | |
|
642 Tanglewood Dr Lynchburg VA 24502-5673 | |
| (434) 660-7203 | |
| Not Available |
| Full Name | Kwi |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 642 Tanglewood Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | Kaily Weiss (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 4236367301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwi 642 Tanglewood Dr Lynchburg VA 24502-5673 Ph: (434) 660-7203 | Kwi 642 Tanglewood Dr Lynchburg VA 24502-5673 Ph: (434) 660-7203 |
| NPI Number | 1790237717 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790237717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Primary |
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