Individual
KATHERINE SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(717) 571-2074
Mailing address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(717) 571-2074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
363A00000X
Physician Assistant
—
VA
Other
Enumeration date
04/11/2012
Last updated
02/10/2022
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