Individual
DR. KATHLEEN M TYLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
477 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6316
(757) 208-0005
(757) 208-0006
Mailing address
477 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6316
(757) 208-0005
(757) 208-0006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102036884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010111820
—
VA
Enumeration date
02/21/2006
Last updated
01/25/2012
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