Individual
MS. KATELYN ANNE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4201 STRINGFELLOW RD, CHANTILLY, VA 20151-2600
(571) 363-7835
Mailing address
5114 TRAVIS EDWARD WAY, CENTREVILLE, VA 20120-3037
(703) 919-9447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000003812
BOARD OF CERTIFICATION FOR ATHLETIC TRAINER
—
Enumeration date
03/23/2020
Last updated
11/27/2023
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