Individual
KATHRYN ANN LONGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6678
Mailing address
980 SPEIGHT LYONS LOOP, CHESAPEAKE, VA 23322-7413
(757) 410-3808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024093820
VA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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