Individual
KATE KENNEDY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2866
(540) 731-2867
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
0010-05804
NC
363A00000X
Physician Assistant
Primary
0110006430
VA
363AM0700X
Medical Physician Assistant
0010-05804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184007916
—
NC
01
—
19C7T
BCBS NC
NC
Enumeration date
06/29/2015
Last updated
08/15/2022
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