Individual
KATHERINE ANNE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
242 HUNTLEY AVE, CHARLOTTESVILLE, VA 22903-2988
(317) 201-0973
Mailing address
242 HUNTLEY AVE, CHARLOTTESVILLE, VA 22903-2988
(317) 201-0973
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-004652
VA
Other
Enumeration date
04/11/2012
Last updated
02/13/2023
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