Individual
DR. MATTHEW S. KAATZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 1ST ST NW, PULASKI, VA 24301-5603
(540) 980-0550
(540) 980-9141
Mailing address
101 1ST ST NW, P. O. BOX 1641, PULASKI, VA 24301-5603
(540) 980-0550
(540) 980-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101221492
VA
207Q00000X
Family Medicine Physician
044253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227029
BC/BS
VA
05
—
5640164
—
VA
Enumeration date
04/08/2006
Last updated
07/08/2007
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