Individual
MS. KATHY MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 IVY ST, RICHLANDS, VA 24641-2848
(276) 970-8217
(276) 598-4233
Mailing address
105 IVY ST, RICHLANDS, VA 24641-2848
(276) 970-8217
(276) 598-4233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166633013
—
VA
Enumeration date
12/06/2017
Last updated
12/06/2017
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