Provider Demographics
NPI:1831400548
Name:AUKSTUOLIS, KESTUTIS (DO)
Entity type:Individual
Prefix:DR
First Name:KESTUTIS
Middle Name:
Last Name:AUKSTUOLIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 OLD GALLOWS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3931
Mailing Address - Country:US
Mailing Address - Phone:703-403-5413
Mailing Address - Fax:
Practice Address - Street 1:1945 OLD GALLOWS RD STE 205
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3931
Practice Address - Country:US
Practice Address - Phone:703-403-5413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202879207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology