Healthcare Provider Details

I. General information

NPI: 1851280473
Provider Name (Legal Business Name): KATHRYN ZECHA RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 SANGAMORE RD STE N100
BETHESDA MD
20816-2558
US

IV. Provider business mailing address

1015 SAINT CLAIR AVE
CHARLOTTESVILLE VA
22901-4141
US

V. Phone/Fax

Practice location:
  • Phone: 914-919-9200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number0001135148
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: