Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101269807 | VA |
NPI | 1033451331 |
---|---|
Provider Name | Jason A. Kirkbride |
First Address | Winchester, VA 22601-3870 |
Second Address | Winchester, VA 22601-3870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 05/10/2021 |