OrganizationActive
Kid Koncepts,llc
NPI 1013343110 · Early Intervention Provider Agency · Etlan, VA
Provider details
- NPI number
- 1013343110
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Christine Wallin, Developmental Consultant(703) 346-7243
- License
- 0001092526 (VA)
Specialties & taxonomies
Agencies
Practice location
2861 S F T Valley Rd
Etlan, VA 22719-2000
Phone: (703) 346-7243
Approximate (ZIP-level) locationGet directions
Mailing address
2861 S F T Valley Rd
Etlan, VA 22719-2000
Registry dates
- Enumerated
- 2013-09-20
- Last updated
- 2013-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.