Individual
KATHRYN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 UKROP WAY, WILLIAMSBURG, VA 23185
(802) 578-5533
Mailing address
3803 E STEEPLECHASE WAY APT H, WILLIAMSBURG, VA 23188-7837
(802) 578-5533
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
AT1409
KY
2255A2300X
Athletic Trainer
003468
NY
2255A2300X
Athletic Trainer
Primary
0126003095
VA
Other
Enumeration date
04/26/2017
Last updated
02/14/2020
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