Individual
DR. KATHYANN M WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12201 PLUM ORCHARD DRIVE, SILVER SPRING, MD 20904-7803
(301) 572-1000
(301) 572-3302
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101248385
VA
207Q00000X
Family Medicine Physician
Primary
D54099
MD
207Q00000X
Family Medicine Physician
MD039141
DC
Other
Enumeration date
12/12/2006
Last updated
06/28/2021
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