Individual
MS. KATHI LYNN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
515 FRONT ST W, COEBURN, VA 24230-3607
(276) 395-2389
(276) 395-6634
Mailing address
515 FRONT ST W, COEBURN, VA 24230-3607
(276) 395-2389
(276) 395-6634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164956
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477656023
—
VA
05
—
7100130340
—
KY
01
—
P00687791
RR MEDICARE
—
Enumeration date
09/07/2006
Last updated
02/22/2017
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