MEDICARE: DR. ANNA KATHRYN BITTNER M.D.

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
1	207Q00000X	Family Medicine Physician	0101043668	VA

General Provider Information

NPI Number	:	1942202569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA KATHRYN BITTNER M.D.

Provider Business Mailing Address
First Line	:	1702 HOMESTEAD CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4420
Country	:	US
Telephone Number	:	804-822-5848
Fax Number	:	804-320-7994

Provider Business Practice Location Address
First Line	:	1702 HOMESTEAD CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4420
Country	:	US
Telephone Number	:	804-822-5848
Fax Number	:	804-320-7994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/30/2011

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