Individual
DR. KATHRYN MARIE RACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1250 E MARSHALL ST, DEPT. OF IM/GERIATRIC MEDICINE, RICHMOND, VA 23298-5051
(804) 254-3500
(804) 254-1616
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101257839
VA
Other
Enumeration date
06/09/2009
Last updated
06/29/2015
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