Individual
MRS. KATHRYN MCCANN POLCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9715 MEDICAL CENTER DR, SUITE 415, ROCKVILLE, MD 20850-3320
(301) 340-9200
(301) 279-9358
Mailing address
9715 MEDICAL CENTER DR, SUITE 415, ROCKVILLE, MD 20850-3320
(301) 340-9200
(301) 279-9358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002971
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952540957
—
VA
Enumeration date
02/13/2009
Last updated
09/21/2022
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