Individual
KATHLEEN LOUISE A VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2283
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101286737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
CA
Enumeration date
06/18/2019
Last updated
10/02/2025
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