Individual
MISS KATHERINE RENEE PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2250 IVY RD STE 220, CHARLOTTESVILLE, VA 22903-4968
(434) 654-3710
Mailing address
121 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 384-1862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005577
VA
Other
Enumeration date
11/10/2016
Last updated
06/08/2026
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