Individual
KHANH-KATHY H PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3263 PROFFIT RD STE 201, CHARLOTTESVILLE, VA 22911-5639
(434) 654-4600
(434) 975-1384
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(888) 236-2263
(434) 975-1384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248799
VA
Other
Enumeration date
05/04/2006
Last updated
06/14/2022
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