Individual
KATHLEEN M. SMITH PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1191 MOUNTAIN RD, HAYMARKET, VA 20169-1022
(571) 261-5226
Mailing address
1191 MOUNTAIN RD, HAYMARKET, VA 20169-1022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165383
VA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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