Individual
MARY KATHLEEN ENGELKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8266 ATLEE RD STE 133, MECHANICSVILLE, VA 23116-1805
(804) 285-8206
Mailing address
2369 STAPLES MILL RD STE 133, RICHMOND, VA 23230-2918
(804) 285-8206
(804) 497-5469
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024175287
VA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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