Individual
DR. PATRICIA KATHLEEN MONGE-MEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 DMV DRIVE, KILMARNOCK, VA 22482
(804) 435-3103
(804) 435-6695
Mailing address
PO BOX 1599, KILMARNOCK, VA 22482-1599
(804) 435-3103
(804) 435-6695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234515
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060567
—
VA
01
—
136844
ANTHEM
VA
01
—
244253
SOUTHERN HEALTH
VA
01
—
76557
SENTARA MEDICAID NUMBER
VA
01
—
7867546
AETNA
VA
Enumeration date
11/07/2006
Last updated
09/15/2016
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