Individual
KATHRYN SIMPSON MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3707 BRAMBLETON AVE, ROANOKE, VA 24018-3658
(540) 725-7800
(540) 989-6752
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002606
LICENSE
VA
Enumeration date
09/07/2007
Last updated
08/11/2022
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