Organization
KATHERINE A TREHERNE MD PC
Active
Other names
Katherine A Treherne MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE A TREHERNE MD (OWNER DERMATOLOGIST)
(757) 623-9919
Entity
Organization
Contact information
Practice address
142 W YORK ST, SUITE 605, NORFOLK, VA 23510-2015
(757) 623-9919
(757) 623-0012
Mailing address
142 W YORK ST, SUITE 605, NORFOLK, VA 23510-2015
(757) 623-9919
(757) 623-0012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101037473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259272
ANTHEM BLUE CROSS
VA
01
—
259273
ANTHEM BLUE CROSS
VA
01
—
410989448001
TRICARE
VA
Enumeration date
06/12/2007
Last updated
08/22/2020
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