| NPI Details | |
|---|---|
| NPI | 1508858416 |
| Gender | Male |
| Enumeration Date | 08/17/2005 |
| Last Updated | 01/22/2008 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 209 W CRISER RD SUITE 100 FRONT ROYAL VA, 22630-2360, US |
|
| Phone | (540) 636-2931 |
| Fax | (540) 363-2933 |
| Business Location | |
|---|---|
| 263 JEB DR WINCHESTER VA, 22602-6649, US |
|
| Phone | (540) 869-5396 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2084P0800X |
| License State | Virginia |
| License Number | 0101016768 |
| Remove 1508858416 NPI Number | |
According to our database, Adolph Charles Kiczales M.D. NPI is 1508858416, taxonomy code is 2084P0800X and license number is 0101016768, license state is located at Virginia. Adolph Charles Kiczales M.D. physically located at 209 W Criser Rd, Front Royal VA, 22630-2360. NPI Number Adolph Charles Kiczales M.D. has the Individual type.
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1508858416 NPI number is provided on an as is basis without warranty of any kind. 1508858416 is maintained by the National Plan & Provider Enumeration System. The contents of Adolph Charles Kiczales M.D. are for informational purposes only.
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