Individual
KATHRYN CHARLES MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10978 BUCKLEY HALL ROAD, MATHEWS, VA 23109
(804) 725-3041
(804) 725-3510
Mailing address
PO BOX 327, MATHEWS, VA 23109-0327
(804) 725-3041
(804) 725-3510
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024189333
VA
Other
Enumeration date
04/04/2024
Last updated
08/07/2024
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