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Kylie Coley

NPI 1942556170 · on the registry since 2012 · sole proprietor

Practice

Address
12001 Tygart Lake Dr
Bristow, VA 20136
Phone
(703) 257-0356
Clinicians at this address
2

Additional practice sites

  • 1617 Park Place Ave, Fort Worth, TX
  • 10600 Kettle Run Rd, Nokesville, VA

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
TX, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia