Individual
KATHERINE JOYCE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 JOSEPH SIEWICK DR, STE 400, FAIRFAX, VA 22033-1710
(703) 391-2020
(703) 391-1211
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2020
(703) 391-1211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041443
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05602556
—
VA
01
—
080182892
RR MEDICARE
—
Enumeration date
09/06/2005
Last updated
08/22/2011
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