Individual
KATHERINE VICTORIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3066
Mailing address
1251 N VAN DORN ST, ALEXANDRIA, VA 22304-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007823
VA
363AM0700X
Medical Physician Assistant
0110007823
VA
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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