Individual
KATHLEEN TIGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911-4669
(434) 654-8920
(434) 654-8921
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-8921
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1264002369
VA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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