Individual
KATHERINE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 N MAIN ST, KILMARNOCK, VA 22482-8501
(804) 480-2151
(804) 577-4340
Mailing address
PO BOX 2154, KILMARNOCK, VA 22482-2154
(804) 480-2151
(804) 577-4340
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCO-211723
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2HCO-211723
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
06/24/2021
Last updated
06/24/2021
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