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Individual

MRS. KATHLEEN PHILLIPS PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-5929
Mailing address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-5929

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101233392
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010265681
VA
01
194407
ANTHEM BCBS NUMBER
VA
Enumeration date
07/17/2006
Last updated
02/27/2012
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