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NPI Code Detail

MEDICARE: KATHERINE GREGORY RAWLES

MEDICARE:   KATHERINE GREGORY RAWLES
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
1103K00000XBehavior Analyst0133000399VA

General Provider Information

NPI Number : 1801318548
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GREGORY RAWLES
Provider Business Mailing Address
First Line : 4108 E PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4108 E PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2754
Country : US
Telephone Number : 804-355-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 03/17/2018

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Directions to “ KATHERINE GREGORY RAWLES ” Practice Location

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