Healthcare Provider Details

I. General information

NPI: 1386884716
Provider Name (Legal Business Name): KESTNER & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 LIMESTONE WAY
FREDERICKSBURG VA
22406-7442
US

IV. Provider business mailing address

80 LIMESTONE WAY
FREDERICKSBURG VA
22406-7442
US

V. Phone/Fax

Practice location:
  • Phone: 540-370-4071
  • Fax:
Mailing address:
  • Phone: 540-370-4071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number2705089622A
License Number StateVA

VIII. Authorized Official

Name: SARAH FRANCES KESTNER
Title or Position: PRESIDENT
Credential:
Phone: 540-370-4071