Individual
DR. KATHLEEN MARY SARDEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2809 NORTH AVE, RICHMOND, VA 23222-3647
(804) 525-1851
Mailing address
2809 NORTH AVE, RICHMOND, VA 23222-3647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036630
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001366302
—
CT
05
—
004236007
—
CT
01
—
036630
PHYSICIAN SURGEON
CT
01
—
26581
CONTROLLED SUBSTANCE
CT
Enumeration date
02/13/2006
Last updated
04/15/2017
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