Individual
KATHRYN A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
895 B RIO EAST COURT, CHARLOTTESVILLE, VA 22901
(434) 817-5437
(434) 817-5440
Mailing address
895 B RIO EAST COURT, CHARLOTTESVILLE, VA 22901
(434) 817-5437
(434) 817-5440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0401007976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200602
—
VA
Enumeration date
10/17/2006
Last updated
07/08/2007
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