MEDICARE: VIRGINIA WOMENS CENTER INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1740594332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA WOMENS CENTER INC

Provider Business Mailing Address
First Line	:	7130 GLEN FOREST DR
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23226-3754
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-282-8678

Provider Business Practice Location Address
First Line	:	7130 GLEN FOREST DR
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23226-3754
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-282-8678

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHRYN K STOUT
Credential	:	MD
Telephone Number	:	804-288-4084

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	05/05/2017

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