Healthcare Provider Details

I. General information

NPI: 1326891136
Provider Name (Legal Business Name): MARY KATHERYN BUFFINGTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY KATHERYN HILL RN

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 VALLEY AVE
WINCHESTER VA
22601-2676
US

IV. Provider business mailing address

2913 VALLEY AVE
WINCHESTER VA
22601-2676
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-5200
  • Fax:
Mailing address:
  • Phone: 540-536-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number123570
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number68870
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: