Individual
DR. KATHERINE ANN LAYBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 RIVER RD, PETERSBURG, VA 23804
(804) 722-4413
Mailing address
1704 HANOVER AVE, RICHMOND, VA 23220-3506
(804) 355-4703
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101840551
VA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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