MEDICARE: DR. KATHERINE BOVEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	0101251749	VA

General Provider Information

NPI Number	:	1740419415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE BOVEE M.D.

Provider Business Mailing Address
First Line	:	167 OLD ORCHARD LN
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-2502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 ROCK POINTE LN
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-2679
Country	:	US
Telephone Number	:	540-347-9900
Fax Number	:	540-349-0920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2009
Last Update Date	:	06/17/2013

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