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NPI Code Detail

MEDICARE: KATHLEEN A PAGE CNM

MEDICARE: KATHLEEN A PAGE CNM
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
1367A00000XAdvanced Practice MidwifeAPRN11044580FL
2367A00000XAdvanced Practice Midwife0024170668VA

General Provider Information

NPI Number : 1861712812
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN A PAGE CNM
Provider Business Mailing Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number : 343-855-9474
Provider Business Practice Location Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number : 434-385-5947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2010
Last Update Date : 02/18/2026

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