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General NPI Number Information
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NPI Number | 1942281365
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Entity Type | Individual
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Provider Name | KATHRYN SCHMIDT ELLIOTT M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1 BOONE RD NAVAL HOSPITAL, CODE 031
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City | BREMERTON
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State | WA
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Zip | 98312-1894
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Country | US
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Telephone | 360-475-4426
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Fax | 360-475-4344
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Provider Business Mailing Address
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Address Line | 633 MEDICAL GROUP 77 NEALY AVENUE
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City | HAMPTON
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State | VA
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Zip | 23665
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Country | US
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Telephone | 757-764-2123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A055192
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101284190
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License Number State | VA
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