Individual
KATHY S WOTRING
Active
Individual
KATHY S WOTRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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