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NPI Code Detail

MEDICARE: KATHRYN L KOTHE WHNP

MEDICARE: KATHRYN L KOTHE WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner0024172923VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10024172923OTHERVAVA NP STATE LICENSE NUMBER

General Provider Information

NPI Number : 1700255130
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN L KOTHE WHNP
Provider Business Mailing Address
First Line : 7130 GLEN FOREST DR STE 101
Second Line :
City : RICHMOND
State : VA
Zip : 23226-3754
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-282-8678
Provider Business Practice Location Address
First Line : 8364 BELL CREEK ROAD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-3818
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-559-2046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 03/26/2026

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