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Individual

KATHERINE HAWKINS GUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 MEDICAL CIR, WINCHESTER, VA 22601-3300
(540) 667-1828
(540) 722-3658
Mailing address
125 MEDICAL CIR, WINCHESTER, VA 22601-3300
(540) 667-1828
(540) 722-3658

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101032075
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091104000
MEDICAID
WV
01
289215
ANTHEM
VA
Enumeration date
01/19/2006
Last updated
01/02/2008
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