Individual
KATHERINE ABBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
(703) 330-2065
Mailing address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
(703) 330-2065
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101045344
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6714480
—
VA
Enumeration date
01/30/2006
Last updated
07/08/2007
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