Individual
KATHLEEN A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5246 CHAMBERLAYNE RD, RICHMOND, VA 23227-2950
(804) 913-7029
Mailing address
PO BOX 746871, ATLANTA, GA 30374-6871
(469) 727-6675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024468818
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585546
—
OH
Enumeration date
06/08/2006
Last updated
05/13/2024
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