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Individual

KATHY S WOTRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336
(540) 662-8593

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001100650
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009559035
VA
01
1144248907
CIGNA
WV
01
1144248907
HEALTHNET TRICARE
05
1144248907
WV
01
1154394187
PEIA WELLS FARGO
OH
01
1154394187
SELECT NET
WV
01
PENDING
4MOST
WV
05
PENDING
OH
Enumeration date
02/09/2006
Last updated
03/26/2021
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