Waverly Brooke Kundysek, MD
Student in an Organized Health Care Education/Training Program in Falls Church, VA. Individual provider (NPI-1).
NPI number1063200749
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1063200749
- Entity type
- Individual (NPI-1)
- Name
- Waverly Brooke Kundysek
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2025
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 208000000X | Pediatrics | 0116040500 | VA |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-4002
Mailing address
7252 Lake Edge DrDallas, TX 75230-2397
Phone 214-796-7089
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All 170 Student in an Organized Health Care Education/Training Program providers in Falls Church · All 4,923 providers in Falls Church
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