Individual
DR. KATHLEEN M. AMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6090
(703) 858-6087
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101039787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006609244
—
VA
Enumeration date
08/21/2006
Last updated
01/29/2020
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