Individual
KATHERINE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 985-8483
Mailing address
17003 GATLIN CT, WOODBRIDGE, VA 22191-4446
(703) 576-7896
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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