Provider Demographics
NPI:1245672518
Name:BARTON, KRYSTLE L (CSFA)
Entity type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:L
Last Name:BARTON
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 GREENSBORO DR
Mailing Address - Street 2:SUITE L1 #638
Mailing Address - City:TYSONS CORNER
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3605
Mailing Address - Country:US
Mailing Address - Phone:719-557-2290
Mailing Address - Fax:
Practice Address - Street 1:8300 GREENSBORO DR
Practice Address - Street 2:SUITE L1 #638
Practice Address - City:TYSONS CORNER
Practice Address - State:VA
Practice Address - Zip Code:22102-3605
Practice Address - Country:US
Practice Address - Phone:719-557-2290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AS0400X, 246ZS0410X
DCSA0182246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant