Healthcare Provider Details

I. General information

NPI: 1669302741
Provider Name (Legal Business Name): KATHRYN ZOLL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 PREDDY CREEK RD
CHARLOTTESVILLE VA
22911-5925
US

IV. Provider business mailing address

3570 PREDDY CREEK RD
CHARLOTTESVILLE VA
22911-5925
US

V. Phone/Fax

Practice location:
  • Phone: 540-492-4338
  • Fax:
Mailing address:
  • Phone: 540-492-4338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0001309793
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: