Healthcare Provider Details

I. General information

NPI: 1013597582
Provider Name (Legal Business Name): COURT K BYRN MD
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: COURTNEY KUSLER MD

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20098 ASHBROOK PL STE 255
ASHBURN VA
20147-3394
US

IV. Provider business mailing address

20098 ASHBROOK PL STE 255
ASHBURN VA
20147-3394
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax: 804-447-3352
Mailing address:
  • Phone: 804-207-6737
  • Fax: 804-447-3352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101282440
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101282440
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: