Healthcare Provider Details

I. General information

NPI: 1487729448
Provider Name (Legal Business Name): KATHRYN A KAHLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN A KIPPS FNP

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GLOUCESTER RD
STUARTS DRAFT VA
24477-3321
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 540-337-3710
  • Fax: 540-337-0930
Mailing address:
  • Phone: 434-295-1000
  • Fax: 434-972-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024165288
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: