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Individual

KATHY AMOROSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4040 POSTAL DR, ROANOKE, VA 24018-6438
(540) 772-4453
(540) 772-4717
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101-050416
VA
2080P0216X
Pediatric Rheumatology Physician
0101-050416
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006704280
VA
05
006708501
VA
Enumeration date
02/02/2006
Last updated
08/08/2022
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