Individual
KATELYN LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
(804) 616-4221
Mailing address
15612 NEW GALE DR, MIDLOTHIAN, VA 23112-5018
(757) 620-3847
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181020
VA
363LF0000X
Family Nurse Practitioner
0024181020
VA
Other
Enumeration date
02/27/2021
Last updated
09/18/2024
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