Individual
MRS. KATHRYN A POND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5818 HARBOUR VIEW BLVD, STE 240, SUFFOLK, VA 23435-3315
(757) 483-6100
(757) 673-5950
Mailing address
5818 HARBOUR VIEW BLVD, STE 240, SUFFOLK, VA 23435-3315
(757) 483-6100
(757) 673-5950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024113609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42486N
SENTARA OPTIMA
—
01
—
541870984006
CHAMPUS
—
01
—
C05825
MEDICARE GROUP
—
01
—
C13214
MEDICARE RR GROUP
—
Enumeration date
12/06/2005
Last updated
07/08/2007
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