Individual
KATHLEEN MCEWAN PELKOFSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP
Contact information
Practice address
205 E. HIRST ROAD, SUITE 203, PURCELVILLE, VA 20132-6600
(540) 751-0255
(540) 751-0466
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024056702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073507034
—
VA
05
—
30015473310002
—
VA
01
—
500012018
RR MEDICARE PIN
VA
Enumeration date
09/07/2005
Last updated
12/10/2023
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