Individual
KATHLEEN WYCKLENDT HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 LAMB CIRCLE, SUITE 380, CHRISTIANSBURG, VA 24073
(540) 633-0523
(540) 633-0526
Mailing address
2900 LAMB CIRCLE, SUITE 380, CHRISTIANSBURG, VA 24073
(540) 633-0523
(540) 633-0526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13766
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005763525
—
VA
05
—
0064097000
—
WV
05
—
7614877
—
NC
Enumeration date
06/02/2006
Last updated
08/11/2011
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