Healthcare Provider Details

I. General information

NPI: 1730434861
Provider Name (Legal Business Name): KATHRYN ANN SAWEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2012
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 MEMORIAL DR
DANVILLE VA
24541-4712
US

IV. Provider business mailing address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 434-799-2055
  • Fax: 434-799-2044
Mailing address:
  • Phone: 434-799-3859
  • Fax: 434-773-6803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberQ5276
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: