Individual
KATHRYN ELYSE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 483-0745
Mailing address
4021 TRAYLOR DR, RICHMOND, VA 23235-1032
(434) 277-1318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001272996
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186467
VA
Other
Enumeration date
03/04/2022
Last updated
04/07/2023
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