Individual
KATHLEEN ST. JOHN IUDICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1831 RESERVOIR ST, HARRISONBURG, VA 22801-8743
(540) 433-9151
(540) 433-0547
Mailing address
1831 RESERVOIR ST, HARRISONBURG, VA 22801-8743
(540) 433-9151
(540) 433-0547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101223187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005620040
VIRGINIA PREMIER
VA
05
—
005620040
—
VA
01
—
113977
OPTIMA
VA
01
—
147636
SOUTHERN HEALTH ID
VA
01
—
286698
ANTHEM ID
VA
Enumeration date
08/03/2005
Last updated
03/29/2010
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